RAUL E LOPEZ
Physician/surgeon


Address: 211 Mooreland Rd, Kensington, CT 06037

RAUL E LOPEZ (Credential# 540080) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 15, 1994. The license expiration date date is September 30, 1995. The license status is INACTIVE.

Business Overview

RAUL E LOPEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011666. The credential type is physician/surgeon. The effective date is July 15, 1994. The expiration date is September 30, 1995. The business address is 211 Mooreland Rd, Kensington, CT 06037. The current status is inactive.

Basic Information

Licensee Name RAUL E LOPEZ
Credential ID 540080
Credential Number 1.011666
Credential Type Physician/Surgeon
Business Address 211 Mooreland Rd
Kensington
CT 06037
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1964-04-07
Effective Date 1994-07-15
Expiration Date 1995-09-30
Refresh Date 2009-07-08

Office Location

Street Address 211 MOORELAND RD
City KENSINGTON
State CT
Zip Code 06037

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Constantine S Buonanno Dmd 1105 Farmington Ave, Kensington, CT 06037 Dentist 2020-04-01 ~ 2021-03-31
Lisa Divalentino 23 Garden Drive, Kensington, CT 06037 Notary Public Appointment 2020-08-01 ~ 2025-07-31
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City KENSINGTON
Zip Code 06037
License Type Physician/Surgeon
License Type + County Physician/Surgeon + KENSINGTON

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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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