THERESA M GABANA
Physician/surgeon


Address: 19b Onamog St, Marlborough, MA 01752

THERESA M GABANA (Credential# 548182) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 1992. The license expiration date date is February 28, 1993. The license status is INACTIVE.

Business Overview

THERESA M GABANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030031. The credential type is physician/surgeon. The effective date is March 24, 1992. The expiration date is February 28, 1993. The business address is 19b Onamog St, Marlborough, MA 01752. The current status is inactive.

Basic Information

Licensee Name THERESA M GABANA
Credential ID 548182
Credential Number 1.030031
Credential Type Physician/Surgeon
Business Address 19b Onamog St
Marlborough
MA 01752
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-06-23
Effective Date 1992-03-24
Expiration Date 1993-02-28
Refresh Date 2009-07-08

Office Location

Street Address 19B ONAMOG ST
City MARLBOROUGH
State MA
Zip Code 01752

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City MARLBOROUGH
Zip Code 01752
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MARLBOROUGH

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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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