EDMOND B RAHEB
Physician/surgeon


Address: 340 Pomfret Street, Putnam, CT 06260

EDMOND B RAHEB (Credential# 539809) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 8, 1997. The license expiration date date is December 31, 1998. The license status is INACTIVE.

Business Overview

EDMOND B RAHEB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010828. The credential type is physician/surgeon. The effective date is October 8, 1997. The expiration date is December 31, 1998. The business address is 340 Pomfret Street, Putnam, CT 06260. The current status is inactive.

Basic Information

Licensee Name EDMOND B RAHEB
Credential ID 539809
Credential Number 1.010828
Credential Type Physician/Surgeon
Business Address 340 Pomfret Street
Putnam
CT 06260
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-02-20
Effective Date 1997-10-08
Expiration Date 1998-12-31
Refresh Date 2009-07-08

Office Location

Street Address 340 POMFRET STREET
City PUTNAM
State CT
Zip Code 06260

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Competitor

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City PUTNAM
Zip Code 06260
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PUTNAM

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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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