JEFFREY R VAN INWEGEN
Physician/surgeon


Address: 75 Byron Drive, Avon, CT 06001

JEFFREY R VAN INWEGEN (Credential# 552110) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is March 31, 1996. The license status is INACTIVE.

Business Overview

JEFFREY R VAN INWEGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034514. The credential type is physician/surgeon. The expiration date is March 31, 1996. The business address is 75 Byron Drive, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name JEFFREY R VAN INWEGEN
Credential ID 552110
Credential Number 1.034514
Credential Type Physician/Surgeon
Business Address 75 Byron Drive
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-05-26
Expiration Date 1996-03-31
Refresh Date 2009-07-08

Office Location

Street Address 75 BYRON DRIVE
City AVON
State CT
Zip Code 06001

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City AVON
Zip Code 06001
License Type Physician/Surgeon
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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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