ANITA G BENEKE MD
Physician/surgeon


Address: 134 Stillson Road, Fairfield, CT 06432-3212

ANITA G BENEKE MD (Credential# 554928) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2001. The license expiration date date is January 31, 2003. The license status is INACTIVE.

Business Overview

ANITA G BENEKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037338. The credential type is physician/surgeon. The effective date is November 20, 2001. The expiration date is January 31, 2003. The business address is 134 Stillson Road, Fairfield, CT 06432-3212. The current status is inactive.

Basic Information

Licensee Name ANITA G BENEKE MD
Credential ID 554928
Credential Number 1.037338
Credential Type Physician/Surgeon
Business Address 134 Stillson Road
Fairfield
CT 06432-3212
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-10-23
Effective Date 2001-11-20
Expiration Date 2003-01-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
209455 CSP.0027852 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 134 STILLSON ROAD
City FAIRFIELD
State CT
Zip Code 06432-3212

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City FAIRFIELD
Zip Code 06432
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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