CONSTANTINE G THEOHARIS
Physician/surgeon


Address: 849 Jennifers Drive, Guilford, CT 06437

CONSTANTINE G THEOHARIS (Credential# 563010) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

CONSTANTINE G THEOHARIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045428. The credential type is physician/surgeon. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 849 Jennifers Drive, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name CONSTANTINE G THEOHARIS
Credential ID 563010
Credential Number 1.045428
Credential Type Physician/Surgeon
Business Address 849 Jennifers Drive
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-05-23
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 849 Jennifers Drive
City Guilford
State CT
Zip Code 06437

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Deborah Ackles 46clear Lake Manor Road, Guilford, CT 06437 Veterinarian 2020-08-01 ~ 2021-07-31
Bruce D Mccann 200 State St, Guilford, CT 06437 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City Guilford
Zip Code 06437
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Guilford

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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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