SHALINI M JACOB
Physician/surgeon


Address: Apt 69d Fairway Dr, Wethersfield, CT 06109

SHALINI M JACOB (Credential# 553846) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 18, 1998. The license expiration date date is May 31, 1999. The license status is INACTIVE.

Business Overview

SHALINI M JACOB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036254. The credential type is physician/surgeon. The effective date is May 18, 1998. The expiration date is May 31, 1999. The business address is Apt 69d Fairway Dr, Wethersfield, CT 06109. The current status is inactive.

Basic Information

Licensee Name SHALINI M JACOB
Credential ID 553846
Credential Number 1.036254
Credential Type Physician/Surgeon
Business Address Apt 69d Fairway Dr
Wethersfield
CT 06109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-08-01
Effective Date 1998-05-18
Expiration Date 1999-05-31
Refresh Date 2009-07-08

Office Location

Street Address APT 69D FAIRWAY DR
City WETHERSFIELD
State CT
Zip Code 06109

Licenses in the same zip code

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Susan E Dimauro 330 Ridge Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Boccacio 174 Longvue Drive, Wethersfield, CT 06109 Esthetician ~
Steven C Hine 294 Hang Dog Ln, Wethersfield, CT 06109 Architect 2020-08-01 ~ 2021-07-31
Karolina Monika Fitrzyk 41 Mountain Laurel, Wethersfield, CT 06109 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matthew R Dobos 33 Oxford St, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
Samantha Grabbe 17 Rockland St, Wethersfield, CT 06109 Registered Nurse 2020-08-01 ~ 2021-07-31
Judith M Martz 307 Nott Street, Wethersfield, CT 06109 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Ups Store (the) 1077 Silas Deane Hwy, Wethersfield, CT 06109 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amber H Washington 103 Parkview Drive, Wethersfield, CT 06109 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen A Mullady · Brancati 75 Dale Rd, Wethersfield, CT 06109 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WETHERSFIELD

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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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