JON M FESSEL MD
Physician/surgeon


Address: 246 Catherine Terrace, Fairfield, CT 06430

JON M FESSEL MD (Credential# 540929) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.

Business Overview

JON M FESSEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013983. The credential type is physician/surgeon. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 246 Catherine Terrace, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name JON M FESSEL MD
Credential ID 540929
Credential Number 1.013983
Credential Type Physician/Surgeon
Business Address 246 Catherine Terrace
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-07-15
Effective Date 2012-11-01
Expiration Date 2013-10-31
Refresh Date 2014-02-21

Other licenses

ID Credential Code Credential Type Issue Term Status
150624 CSP.0005632 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 246 CATHERINE TERRACE
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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