MARIAM SOFIA ABOIAN
Physician/surgeon


Address: 3 Marion Lane, Woodbridge, CT 06525

MARIAM SOFIA ABOIAN (Credential# 1646299) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

MARIAM SOFIA ABOIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064020. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3 Marion Lane, Woodbridge, CT 06525. The current status is active.

Basic Information

Licensee Name MARIAM SOFIA ABOIAN
Credential ID 1646299
Credential Number 1.064020
Credential Type Physician/Surgeon
Business Address 3 Marion Lane
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-25
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1681183 CSP.0072162 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-08-05 2019-08-05 - 2021-02-28 ACTIVE

Office Location

Street Address 3 Marion lane
City Woodbridge
State CT
Zip Code 06525

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City Woodbridge
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Woodbridge

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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