ISMAEL MARTIN DO
Physician/surgeon


Address: 135 Dove Lane, Middletown, CT 06457

ISMAEL MARTIN DO (Credential# 559046) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 16, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.

Business Overview

ISMAEL MARTIN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041463. The credential type is physician/surgeon. The effective date is February 16, 2006. The expiration date is February 28, 2007. The business address is 135 Dove Lane, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name ISMAEL MARTIN DO
Credential ID 559046
Credential Number 1.041463
Credential Type Physician/Surgeon
Business Address 135 Dove Lane
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-05-14
Effective Date 2006-02-16
Expiration Date 2007-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
341632 CSP.0033619 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 135 DOVE LANE
City MIDDLETOWN
State CT
Zip Code 06457

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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Martin I Hall 752 Hill St, Bristol, CT 06010 Physician/surgeon 1993-12-07 ~ 1994-12-31
Martin J O'hara 100 Haven Ave Apt 12c, New York, NY 10032-2624 Physician/surgeon 1991-08-09 ~ 1992-09-30
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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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