MINDA S ROAN
Physician/surgeon


Address: 7 Corson Lane, Oceanview, NJ 08230

MINDA S ROAN (Credential# 547330) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 29, 1996. The license expiration date date is October 31, 1996. The license status is INACTIVE.

Business Overview

MINDA S ROAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028702. The credential type is physician/surgeon. The effective date is January 29, 1996. The expiration date is October 31, 1996. The business address is 7 Corson Lane, Oceanview, NJ 08230. The current status is inactive.

Basic Information

Licensee Name MINDA S ROAN
Credential ID 547330
Credential Number 1.028702
Credential Type Physician/Surgeon
Business Address 7 Corson Lane
Oceanview
NJ 08230
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-12-04
Effective Date 1996-01-29
Expiration Date 1996-10-31
Refresh Date 2009-07-08

Office Location

Street Address 7 CORSON LANE
City OCEANVIEW
State NJ
Zip Code 08230

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Crystal A Schiemer 3 Thicket Street, Ocean View, NJ 08230 Occupational Therapist 2019-08-01 ~ 2021-07-31
Dave I Berson 5 Red Cedar Dr, Ocean View, NJ 08230 Engineer-in-training ~
Raymond D Poudrier Po Box 40, Ocean View, NJ 08230 Electrical Unlimited Journeyperson ~
Christian M Gill 3 Huntington Ln, Ocean View, NJ 08230-1046 Pharmacist 2020-02-01 ~ 2022-01-31
Panama Springs 69 Street San Francisco, Panama City, CA 08230-1100 Non-alcoholic Beverage & Water Bottlers 2009-01-30 ~ 2009-06-30
Keith R Payne 33 Corsons Tavern Rd, Ocean View, NJ 08230-1158 Radiographer 2017-12-18 ~ 2018-10-31

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City OCEANVIEW
Zip Code 08230
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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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