SANDRA L LOETZ
Physician Assistant


Address: 18 Prospect Street, Norwalk, CT 06850

SANDRA L LOETZ (Credential# 742373) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 15, 1997. The license expiration date date is September 30, 1998. The license status is INACTIVE.

Business Overview

SANDRA L LOETZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000624. The credential type is physician assistant. The effective date is August 15, 1997. The expiration date is September 30, 1998. The business address is 18 Prospect Street, Norwalk, CT 06850. The current status is inactive.

Basic Information

Licensee Name SANDRA L LOETZ
Credential ID 742373
Credential Number 23.000624
Credential Type Physician Assistant
Business Address 18 Prospect Street
Norwalk
CT 06850
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-01-17
Effective Date 1997-08-15
Expiration Date 1998-09-30
Refresh Date 2009-07-08

Office Location

Street Address 18 PROSPECT STREET
City NORWALK
State CT
Zip Code 06850

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Competitor

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City NORWALK
Zip Code 06850
License Type Physician Assistant
License Type + County Physician Assistant + NORWALK

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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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