CHARISSE D LITCHMAN
Physician/surgeon


Address: Po Box 3224, Stamford, CT 06905

CHARISSE D LITCHMAN (Credential# 549945) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

CHARISSE D LITCHMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032332. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Po Box 3224, Stamford, CT 06905. The current status is active.

Basic Information

Licensee Name CHARISSE D LITCHMAN
Credential ID 549945
Credential Number 1.032332
Credential Type Physician/Surgeon
Business Address Po Box 3224
Stamford
CT 06905
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1992-06-05
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-18

Other licenses

ID Credential Code Credential Type Issue Term Status
159508 CSP.0020168 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address PO Box 3224
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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