GONZALO F ALBORNOZ
Physician/surgeon


Address: 5508 Uppingham Street, Chevy Chase, MD 20815

GONZALO F ALBORNOZ (Credential# 561374) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 23, 2008. The license expiration date date is May 31, 2009. The license status is INACTIVE.

Business Overview

GONZALO F ALBORNOZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043792. The credential type is physician/surgeon. The effective date is December 23, 2008. The expiration date is May 31, 2009. The business address is 5508 Uppingham Street, Chevy Chase, MD 20815. The current status is inactive.

Basic Information

Licensee Name GONZALO F ALBORNOZ
Credential ID 561374
Credential Number 1.043792
Credential Type Physician/Surgeon
Business Address 5508 Uppingham Street
Chevy Chase
MD 20815
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-06
Effective Date 2008-12-23
Expiration Date 2009-05-31
Refresh Date 2009-09-29

Other licenses

ID Credential Code Credential Type Issue Term Status
394564 CSP.0036963 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-02-08 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 5508 Uppingham Street
City Chevy Chase
State MD
Zip Code 20815

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Competitor

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City Chevy Chase
Zip Code 20815
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Chevy Chase

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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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