MIRFRIDA Z GELLER
Physician/surgeon


Address: 127 Brewster Rd, West Hartford, CT 06117

MIRFRIDA Z GELLER (Credential# 565163) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is October 31, 2014. The license status is INACTIVE.

Business Overview

MIRFRIDA Z GELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047581. The credential type is physician/surgeon. The effective date is November 1, 2013. The expiration date is October 31, 2014. The business address is 127 Brewster Rd, West Hartford, CT 06117. The current status is inactive.

Basic Information

Licensee Name MIRFRIDA Z GELLER
Credential ID 565163
Credential Number 1.047581
Credential Type Physician/Surgeon
Business Address 127 Brewster Rd
West Hartford
CT 06117
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-15
Effective Date 2013-11-01
Expiration Date 2014-10-31
Refresh Date 2015-02-03

Office Location

Street Address 127 Brewster Rd
City West Hartford
State CT
Zip Code 06117

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Competitor

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City West Hartford
Zip Code 06117
License Type Physician/Surgeon
License Type + County Physician/Surgeon + West Hartford

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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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