GILBERTO D ENRIQUEZ
Physician/surgeon


Address: 4233 Cascade Dr, Janesville, WI 53546-3542

GILBERTO D ENRIQUEZ (Credential# 557712) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 29, 2012. The license status is INACTIVE.

Business Overview

GILBERTO D ENRIQUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040129. The credential type is physician/surgeon. The effective date is March 1, 2011. The expiration date is February 29, 2012. The business address is 4233 Cascade Dr, Janesville, WI 53546-3542. The current status is inactive.

Basic Information

Licensee Name GILBERTO D ENRIQUEZ
Credential ID 557712
Credential Number 1.040129
Credential Type Physician/Surgeon
Business Address 4233 Cascade Dr
Janesville
WI 53546-3542
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-02-01
Effective Date 2011-03-01
Expiration Date 2012-02-29
Refresh Date 2012-06-06

Office Location

Street Address 4233 CASCADE DR
City JANESVILLE
State WI
Zip Code 53546-3542

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Jared D Witt 2134 Kellogg Ave, Janesville, WI 53546-3912 Home Improvement Salesperson 2018-05-24 ~ 2018-11-30
Jan Moroni Witt 4110 Greenbriar Dr, Janesville, WI 53546-4225 Registered Nurse 2015-05-01 ~ 2016-04-30
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Competitor

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City JANESVILLE
Zip Code 53546
License Type Physician/Surgeon
License Type + County Physician/Surgeon + JANESVILLE

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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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