SHERWIN C D'SOUZA
Physician/surgeon


Address: 20 Woodland Park, Hartford, CT 06105

SHERWIN C D'SOUZA (Credential# 554849) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 6, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.

Business Overview

SHERWIN C D'SOUZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037259. The credential type is physician/surgeon. The effective date is July 6, 1999. The expiration date is April 30, 2000. The business address is 20 Woodland Park, Hartford, CT 06105. The current status is inactive.

Basic Information

Licensee Name SHERWIN C D'SOUZA
Credential ID 554849
Credential Number 1.037259
Credential Type Physician/Surgeon
Business Address 20 Woodland Park
Hartford
CT 06105
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-25
Effective Date 1999-07-06
Expiration Date 2000-04-30
Refresh Date 2009-07-08

Office Location

Street Address 20 WOODLAND PARK
City HARTFORD
State CT
Zip Code 06105

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Ashley Ameena Bachan 25 Owen Street, Hartford, CT 06105 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Dhruti Anilkant Mankodi Hospitalist Department, Hartford, CT 06105 Physician/surgeon 2020-08-01 ~ 2021-07-31
Jacqueline Alexandra Raymond 24 Owen Street, Hartford, CT 06105 Esthetician 2020-06-22 ~ 2021-10-31
Hortense Bates 48-50 Atwood Street, Hartford, CT 06105 Medication Administration Certification 2020-08-20 ~ 2022-08-19
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Competitor

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City HARTFORD
Zip Code 06105
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HARTFORD

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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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