MARTIN C ROGERS
Physician/surgeon


Address: 28 Haviland Rd, Stamford, CT 06903

MARTIN C ROGERS (Credential# 540248) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 25, 1997. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

MARTIN C ROGERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012176. The credential type is physician/surgeon. The effective date is April 25, 1997. The expiration date is May 31, 1998. The business address is 28 Haviland Rd, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name MARTIN C ROGERS
Credential ID 540248
Credential Number 1.012176
Credential Type Physician/Surgeon
Business Address 28 Haviland Rd
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1965-06-17
Effective Date 1997-04-25
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
147061 CSP.0002209 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 28 HAVILAND RD
City STAMFORD
State CT
Zip Code 06903

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Competitor

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City STAMFORD
Zip Code 06903
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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