CARL C BALOG
Physician/surgeon


Address: Prescott House, Greenwich, CT 06830

CARL C BALOG (Credential# 549406) 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

CARL C BALOG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031700. The credential type is physician/surgeon. The effective date is March 24, 1992. The expiration date is February 28, 1993. The business address is Prescott House, Greenwich, CT 06830. The current status is inactive.

Basic Information

Licensee Name CARL C BALOG
Credential ID 549406
Credential Number 1.031700
Credential Type Physician/Surgeon
Business Address Prescott House
Greenwich
CT 06830
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-07-05
Effective Date 1992-03-24
Expiration Date 1993-02-28
Refresh Date 2009-07-08

Office Location

Street Address PRESCOTT HOUSE
City GREENWICH
State CT
Zip Code 06830

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Christina C Baker · Heyn Prescott House, Greenwich, CT 06830 Registered Nurse ~ 1998-05-31
Dayton R Contois II Prescott House, Greenwich, CT 06830 Physical Therapist 1994-05-16 ~ 1995-05-31

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Dandan Tu 24 Byfield Ln, Greenwich, CT 06830 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City GREENWICH
Zip Code 06830
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENWICH

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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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