ANTHONY H AXIOTIS
Physician/surgeon


Address: Po Box 566, Fairfield, CT 06430

ANTHONY H AXIOTIS (Credential# 539681) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 9, 1995. The license expiration date date is January 31, 1996. The license status is INACTIVE.

Business Overview

ANTHONY H AXIOTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010384. The credential type is physician/surgeon. The effective date is January 9, 1995. The expiration date is January 31, 1996. The business address is Po Box 566, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name ANTHONY H AXIOTIS
Credential ID 539681
Credential Number 1.010384
Credential Type Physician/Surgeon
Business Address Po Box 566
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1961-05-23
Effective Date 1995-01-09
Expiration Date 1996-01-31
Refresh Date 2009-07-08

Office Location

Street Address PO BOX 566
City FAIRFIELD
State CT
Zip Code 06430

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City FAIRFIELD
Zip Code 06430
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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