ANDREA L BENIN MD
Physician/surgeon


Address: 117 Kirk Crossing Dr, Decatur, GA 30030-3773

ANDREA L BENIN MD (Credential# 557101) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANDREA L BENIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039516. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 117 Kirk Crossing Dr, Decatur, GA 30030-3773. The current status is active.

Basic Information

Licensee Name ANDREA L BENIN MD
Credential ID 557101
Credential Number 1.039516
Credential Type Physician/Surgeon
Business Address 117 Kirk Crossing Dr
Decatur
GA 30030-3773
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2001-05-09
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-30

Other licenses

ID Credential Code Credential Type Issue Term Status
431989 CSP.0038921 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-15 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 117 KIRK CROSSING DR
City DECATUR
State GA
Zip Code 30030-3773

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mark D Oprisch 413 Mimosa Dr, Decatur, GA 30030 Architect 2020-08-01 ~ 2021-07-31
Philip D Rhodes 222 Willow Ln, Decatur, GA 30030 Professional Engineer 2020-02-01 ~ 2021-01-31
Randall S Booker Jr 114 Heatherdown Road, Decatur, GA 30030 Professional Engineer 2020-02-01 ~ 2021-01-31
Nikulkumar R Chaudhari 790 Grove Bend, Decatur, GA 30030 Physician/surgeon 2020-01-01 ~ 2020-12-31
David C Purselle 250 E. Ponce De Leon Ave Ste 800, Atlanta, GA 30030 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
United Methodist Children's Home 500 S. Columbia Drive, Decatur, GA 30030 Public Charity-exempt From Financial Requirements ~
Joseph M Gottardy 208 Michigan Ave, Decatur, GA 30030 Professional Engineer 2015-02-01 ~ 2016-01-31
Kelly A Hightower 1375 Thomas Rd, Decatur, GA 30030 Registered Nurse 2011-10-01 ~ 2012-09-30
George Gerard Voith 2507 Mckinnon Dr, Decatur, GA 30030 Architect 2005-08-01 ~ 2006-07-31
Nancy C Anderson 218 E Trinity Place, Decatur, GA 30030 Registered Nurse 2004-12-30 ~ 2006-02-28
Find all Licenses in zip 30030

Competitor

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City DECATUR
Zip Code 30030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DECATUR

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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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