ANDREI SAN-MARINA
Physician/surgeon


Address: 1103 Blackrush Circle, Mt. Pleasant, CT 29466

ANDREI SAN-MARINA (Credential# 563452) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.

Business Overview

ANDREI SAN-MARINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045870. The credential type is physician/surgeon. The effective date is June 1, 2009. The expiration date is May 31, 2010. The business address is 1103 Blackrush Circle, Mt. Pleasant, CT 29466. The current status is inactive.

Basic Information

Licensee Name ANDREI SAN-MARINA
Credential ID 563452
Credential Number 1.045870
Credential Type Physician/Surgeon
Business Address 1103 Blackrush Circle
Mt. Pleasant
CT 29466
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-09-24
Effective Date 2009-06-01
Expiration Date 2010-05-31
Refresh Date 2010-09-01

Office Location

Street Address 1103 Blackrush Circle
City Mt. Pleasant
State CT
Zip Code 29466

Licenses in the same zip code

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Dictionary Project 581 Flannery Place, Mt Pleasant, SC 29466 Public Charity 2020-12-01 ~ 2021-11-30
Sharon M Spelling 1385 Classic Court, Mount Pleasant, SC 29466 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Rebecca A Ambrose 3249 Salterbeck St, Mount Pleasant, SC 29466 Marital and Family Therapist 2020-05-01 ~ 2021-04-30
Jeanne M Malota 1632 Rivertowne Country Club Dr, Mt Pleasant, SC 29466 Real Estate Salesperson 2015-06-01 ~ 2016-05-31
Louis R Verdetto 3791 Millpond Lane, Mount Pleasant, SC 29466 Perfusionist 2020-04-01 ~ 2021-03-31
Robert B Huette IIi 1617 Oakhurst Drive, Mount Pleasant, SC 29466 Registered Nurse 2020-06-01 ~ 2021-05-31
Sarah B Lilly 3253 Queensgate Way, Mt Pleasant, SC 29466 Registered Nurse ~
Scott R Wilson 2173 Salt Wind Way, Mount Pleasant, SC 29466 Professional Engineer 2019-02-01 ~ 2020-01-31
John W Colagrande Jr 2170 Snyder Circle, Mt. Pleasant, SC 29466 Professional Engineer 2020-02-01 ~ 2021-01-31
Andrew M Ferrillo 1535 Watoga Way, Mount Pleasant, SC 29466 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City Mt. Pleasant
Zip Code 29466
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Mt. Pleasant

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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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