JAVIER A POU MD
Physician/surgeon


Address: 40 Prospect St/bldg 2#2f, Norwalk, CT 06850

JAVIER A POU MD (Credential# 558491) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 4, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.

Business Overview

JAVIER A POU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040908. The credential type is physician/surgeon. The effective date is August 4, 2004. The expiration date is April 30, 2005. The business address is 40 Prospect St/bldg 2#2f, Norwalk, CT 06850. The current status is inactive.

Basic Information

Licensee Name JAVIER A POU MD
Credential ID 558491
Credential Number 1.040908
Credential Type Physician/Surgeon
Business Address 40 Prospect St/bldg 2#2f
Norwalk
CT 06850
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-10-21
Effective Date 2004-08-04
Expiration Date 2005-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
339724 CSP.0033570 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-05-22 - 2004-02-28 INACTIVE

Office Location

Street Address 40 PROSPECT ST/BLDG 2#2F
City NORWALK
State CT
Zip Code 06850

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Competitor

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City NORWALK
Zip Code 06850
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORWALK

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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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