AUGUSTO H PODESTA
Physician/surgeon


Address: 15 Wildcat Road, Darien, CT 06820

AUGUSTO H PODESTA (Credential# 546900) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

AUGUSTO H PODESTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027991. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 15 Wildcat Road, Darien, CT 06820. The current status is active.

Basic Information

Licensee Name AUGUSTO H PODESTA
Credential ID 546900
Credential Number 1.027991
Credential Type Physician/Surgeon
Business Address 15 Wildcat Road
Darien
CT 06820
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1987-03-20
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-09-26

Office Location

Street Address 15 Wildcat Road
City DARIEN
State CT
Zip Code 06820

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City DARIEN
Zip Code 06820
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DARIEN

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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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