FORREST E LIGHTBODY
Physician/surgeon


Address: 1318 Casey Key Dr, Punta Gorda, FL 33950

FORREST E LIGHTBODY (Credential# 540799) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 3, 1997. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

FORREST E LIGHTBODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013620. The credential type is physician/surgeon. The effective date is June 3, 1997. The expiration date is May 31, 1998. The business address is 1318 Casey Key Dr, Punta Gorda, FL 33950. The current status is inactive.

Basic Information

Licensee Name FORREST E LIGHTBODY
Credential ID 540799
Credential Number 1.013620
Credential Type Physician/Surgeon
Business Address 1318 Casey Key Dr
Punta Gorda
FL 33950
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-09-09
Effective Date 1997-06-03
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Office Location

Street Address 1318 CASEY KEY DR
City PUNTA GORDA
State FL
Zip Code 33950

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John L Heagle 2215 Via Esplanade, Punta Gorda, FL 33950 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Cheryl L Hetherington 940 Don Juan Court, Punta Gorda, FL 33950 Physical Therapist 2020-03-01 ~ 2021-02-28
Barbara Ann Fisher 290 Lewis Circle, Punta Gorda, FL 33950 Registered Nurse ~
Michelle A Hyland 3335 Purple Martin Drive, Punta Gorda, FL 33950 Registered Nurse 2020-04-01 ~ 2021-03-31
Frederick Demella Jr 2595 Tarpon Cove Dr, Punta Gorda, FL 33950 Pharmacist 2020-02-01 ~ 2022-01-31
Mary E Beaudoin 29200 S Jones Loop Road, Punta Gorda, FL 33950 Registered Nurse 2019-08-01 ~ 2020-07-31
Francis J Wheelahan IIi 2627 Carl Ave, Punta Gorda, FL 33950 Heating, Piping & Cooling Limited Contractor 2019-09-01 ~ 2020-08-31
Jill D Calvanese 87 Vivante Blvd, Punta Gorda, FL 33950 Registered Nurse 2019-09-01 ~ 2020-08-31
Linda P Mansfield 46 Amsterdam Ave, Punta Gorda, FL 33950 Registered Nurse 2017-08-01 ~ 2018-07-31
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Competitor

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City PUNTA GORDA
Zip Code 33950
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PUNTA GORDA

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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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