VISITACIO M TOLENTINO
Physician/surgeon


Address: 29 Mt Pleasant Rd, Newtown, CT 06470

VISITACIO M TOLENTINO (Credential# 546159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 23, 1992. The license expiration date date is July 31, 1993. The license status is INACTIVE.

Business Overview

VISITACIO M TOLENTINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026732. The credential type is physician/surgeon. The effective date is July 23, 1992. The expiration date is July 31, 1993. The business address is 29 Mt Pleasant Rd, Newtown, CT 06470. The current status is inactive.

Basic Information

Licensee Name VISITACIO M TOLENTINO
Credential ID 546159
Credential Number 1.026732
Credential Type Physician/Surgeon
Business Address 29 Mt Pleasant Rd
Newtown
CT 06470
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-08-20
Effective Date 1992-07-23
Expiration Date 1993-07-31
Refresh Date 2009-07-08

Office Location

Street Address 29 MT PLEASANT RD
City NEWTOWN
State CT
Zip Code 06470

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Courtney M Parker 153 Boggs Hill Rd, Newtown, CT 06470 Registered Nurse 2020-07-01 ~ 2021-06-30
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City NEWTOWN
Zip Code 06470
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWTOWN

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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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