PAUL L MASTROPOLO
Physician/surgeon


Address: 276 Hart St, Bristol, CT 06010-9506

PAUL L MASTROPOLO (Credential# 543474) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.

Business Overview

PAUL L MASTROPOLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020744. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 276 Hart St, Bristol, CT 06010-9506. The current status is inactive.

Basic Information

Licensee Name PAUL L MASTROPOLO
Credential ID 543474
Credential Number 1.020744
Credential Type Physician/Surgeon
Business Address 276 Hart St
Bristol
CT 06010-9506
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-09-18
Effective Date 2018-09-01
Expiration Date 2019-08-31
Refresh Date 2019-12-04

Office Location

Street Address 276 HART ST
City BRISTOL
State CT
Zip Code 06010-9506

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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