JORGE E HERNANDEZ
Physician/surgeon


Address: 201 Regan Road #17a, Vernon, CT 06066

JORGE E HERNANDEZ (Credential# 552277) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 27, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.

Business Overview

JORGE E HERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034681. The credential type is physician/surgeon. The effective date is September 27, 1995. The expiration date is September 30, 1996. The business address is 201 Regan Road #17a, Vernon, CT 06066. The current status is inactive.

Basic Information

Licensee Name JORGE E HERNANDEZ
Credential ID 552277
Credential Number 1.034681
Credential Type Physician/Surgeon
Business Address 201 Regan Road #17a
Vernon
CT 06066
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-07-14
Effective Date 1995-09-27
Expiration Date 1996-09-30
Refresh Date 2009-07-08

Office Location

Street Address 201 REGAN ROAD #17A
City VERNON
State CT
Zip Code 06066

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Competitor

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City VERNON
Zip Code 06066
License Type Physician/Surgeon
License Type + County Physician/Surgeon + VERNON

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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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