DEBORA L GREEN
Physician/surgeon


Address: 127 Ashford Road, Longmeadow, MA 01106

DEBORA L GREEN (Credential# 552648) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 23, 2005. The license expiration date date is May 31, 2006. The license status is INACTIVE.

Business Overview

DEBORA L GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035054. The credential type is physician/surgeon. The effective date is March 23, 2005. The expiration date is May 31, 2006. The business address is 127 Ashford Road, Longmeadow, MA 01106. The current status is inactive.

Basic Information

Licensee Name DEBORA L GREEN
Credential ID 552648
Credential Number 1.035054
Credential Type Physician/Surgeon
Business Address 127 Ashford Road
Longmeadow
MA 01106
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-02-02
Effective Date 2005-03-23
Expiration Date 2006-05-31
Refresh Date 2009-07-08

Office Location

Street Address 127 ASHFORD ROAD
City LONGMEADOW
State MA
Zip Code 01106

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Michael S Caronna 24 Chandler Ave, Longmeadow, MA 01106 Registered Sanitarian 2020-09-01 ~ 2021-08-31
Susan Helen Templeton 146 Pleasantview Avenue, Longmeadow, MA 01106 Registered Nurse ~
Brittany Moreland 103 Birchwood Ave, Longmeadow, MA 01106 Real Estate Salesperson 2020-06-22 ~ 2021-05-31
Krystyna Olczuk 158 Tanglewood Dr, Longmeadow, MA 01106 Registered Nurse 2020-08-01 ~ 2021-07-31
Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
Kate E Schoenberger 91 Williston Dr, Longmeadow, MA 01106 Paramedic 2020-09-01 ~ 2021-08-31
Bryant E Ostrander 52 Whitmun Road, Longmeadow, MA 01106 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Minsook Ku 23 Herbert Street, Longmeadow, MA 01106 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-12 ~ 2022-01-31
Lily Schneider 160 Captain Rd, Longmeadow, MA 01106 Emergency Medical Technician ~
Kimberly Marie Maynard 175 Franklin Road, Longmeadow, MA 01106 Psychologist 2020-07-01 ~ 2021-06-30
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Competitor

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City LONGMEADOW
Zip Code 01106
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LONGMEADOW

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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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