LIZA M PINA
Physician/surgeon


Address: 107 Putnam Park Road, Bethel, CT 06801

LIZA M PINA (Credential# 555907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 10, 1999. The license expiration date date is June 30, 2000. The license status is INACTIVE.

Business Overview

LIZA M PINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038317. The credential type is physician/surgeon. The effective date is December 10, 1999. The expiration date is June 30, 2000. The business address is 107 Putnam Park Road, Bethel, CT 06801. The current status is inactive.

Basic Information

Licensee Name LIZA M PINA
Credential ID 555907
Credential Number 1.038317
Credential Type Physician/Surgeon
Business Address 107 Putnam Park Road
Bethel
CT 06801
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-12-10
Effective Date 1999-12-10
Expiration Date 2000-06-30
Refresh Date 2009-07-08

Office Location

Street Address 107 Putnam Park Road
City Bethel
State CT
Zip Code 06801

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Sharon M Boyle 107 Putnam Park Road, Bethel, CT 06801 Notary Public Appointment 2017-06-01 ~ 2022-05-31

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Nina M Kilcourse 3 Bayberry Hill Rd, Bethel, CT 06801 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
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Competitor

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City Bethel
Zip Code 06801
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bethel

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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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