ROGER B HENSLEY
Physician/surgeon


Address: 425 Park Place, Mashawaka, IN 46545

ROGER B HENSLEY (Credential# 551248) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 1994. The license expiration date date is October 31, 1994. The license status is INACTIVE.

Business Overview

ROGER B HENSLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033649. The credential type is physician/surgeon. The effective date is April 18, 1994. The expiration date is October 31, 1994. The business address is 425 Park Place, Mashawaka, IN 46545. The current status is inactive.

Basic Information

Licensee Name ROGER B HENSLEY
Credential ID 551248
Credential Number 1.033649
Credential Type Physician/Surgeon
Business Address 425 Park Place
Mashawaka
IN 46545
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-04-15
Effective Date 1994-04-18
Expiration Date 1994-10-31
Refresh Date 2009-07-08

Office Location

Street Address 425 PARK PLACE
City MASHAWAKA
State IN
Zip Code 46545

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Jennifer Howes 12315 Dunn Rd, Mishawaka, IN 46545 Occupational Therapist 2019-08-01 ~ 2021-07-31
Global Partners In Care Inc · F/k/a Foundation for Hospices In Sub-saharan Africa Inc 501 Comfort Pl, Mishawaka, IN 46545-5234 Public Charity 2019-12-01 ~ 2020-11-30
Ronnette Jo Pinter 56210 Andrea Ct, Mishawaka, IN 46545-7741 Registered Nurse 2018-05-04 ~ 2019-03-31

Competitor

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City MASHAWAKA
Zip Code 46545
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MASHAWAKA

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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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