JEROLD J PRINCIPATO
Physician/surgeon


Address: 10401 Old Georgetown, Bethesda, MD 20814

JEROLD J PRINCIPATO (Credential# 540505) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 28, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.

Business Overview

JEROLD J PRINCIPATO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012848. The credential type is physician/surgeon. The effective date is July 28, 2008. The expiration date is September 30, 2009. The business address is 10401 Old Georgetown, Bethesda, MD 20814. The current status is inactive.

Basic Information

Licensee Name JEROLD J PRINCIPATO
Credential ID 540505
Credential Number 1.012848
Credential Type Physician/Surgeon
Business Address 10401 Old Georgetown
Bethesda
MD 20814
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1967-02-09
Effective Date 2008-07-28
Expiration Date 2009-09-30
Refresh Date 2010-01-08

Office Location

Street Address 10401 OLD GEORGETOWN
City BETHESDA
State MD
Zip Code 20814

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City BETHESDA
Zip Code 20814
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BETHESDA

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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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