HENRY MASS
Physician/surgeon


Address: 29 Mitchel La, Woodbridge, CT 06525

HENRY MASS (Credential# 539185) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 28, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

HENRY MASS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008504. The credential type is physician/surgeon. The effective date is July 28, 2004. The expiration date is September 30, 2005. The business address is 29 Mitchel La, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name HENRY MASS
Credential ID 539185
Credential Number 1.008504
Credential Type Physician/Surgeon
Business Address 29 Mitchel La
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1957-04-12
Effective Date 2004-07-28
Expiration Date 2005-09-30
Refresh Date 2009-07-08

Office Location

Street Address 29 MITCHEL LA
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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