ANDREW L SPITZNAS
Physician/surgeon


Address: 40 Medford Street, Bristol, CT 06010

ANDREW L SPITZNAS (Credential# 554298) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.

Business Overview

ANDREW L SPITZNAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036707. The credential type is physician/surgeon. The effective date is June 1, 2004. The expiration date is June 30, 2005. The business address is 40 Medford Street, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name ANDREW L SPITZNAS
Credential ID 554298
Credential Number 1.036707
Credential Type Physician/Surgeon
Business Address 40 Medford Street
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-03-20
Effective Date 2004-06-01
Expiration Date 2005-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
197598 CSP.0027177 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-02-29 - 2005-02-28 INACTIVE

Office Location

Street Address 40 MEDFORD STREET
City BRISTOL
State CT
Zip Code 06010

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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