DONNA-MARIE E MANASSEH
Physician/surgeon


Address: 19 Stone Fence Lane, Stamford, CT 06903

DONNA-MARIE E MANASSEH (Credential# 561326) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

DONNA-MARIE E MANASSEH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043744. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 19 Stone Fence Lane, Stamford, CT 06903. The current status is inactive.

Basic Information

Licensee Name DONNA-MARIE E MANASSEH
Credential ID 561326
Credential Number 1.043744
Credential Type Physician/Surgeon
Business Address 19 Stone Fence Lane
Stamford
CT 06903
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-08-16
Effective Date 2012-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Office Location

Street Address 19 STONE FENCE LANE
City Stamford
State CT
Zip Code 06903

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Competitor

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City Stamford
Zip Code 06903
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Stamford

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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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