JESSAMINE R GOERNER
Physician/surgeon


Address: 231 Tucker Hill Road, Middlebury, CT 06762

JESSAMINE R GOERNER (Credential# 538711) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 25, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.

Business Overview

JESSAMINE R GOERNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006659. The credential type is physician/surgeon. The effective date is March 25, 2002. The expiration date is March 31, 2003. The business address is 231 Tucker Hill Road, Middlebury, CT 06762. The current status is inactive.

Basic Information

Licensee Name JESSAMINE R GOERNER
Credential ID 538711
Credential Number 1.006659
Credential Type Physician/Surgeon
Business Address 231 Tucker Hill Road
Middlebury
CT 06762
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1951-04-24
Effective Date 2002-03-25
Expiration Date 2003-03-31
Refresh Date 2009-07-08

Office Location

Street Address 231 Tucker Hill Road
City Middlebury
State CT
Zip Code 06762

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Competitor

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City Middlebury
Zip Code 06762
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Middlebury

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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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