CHARLES T TITA
Physician/surgeon


Address: 2302 Cold Meadow Way, Silver Spring, MD 20906-6217

CHARLES T TITA (Credential# 970008) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.

Business Overview

CHARLES T TITA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049747. The credential type is physician/surgeon. The effective date is April 18, 2011. The expiration date is January 31, 2012. The business address is 2302 Cold Meadow Way, Silver Spring, MD 20906-6217. The current status is inactive.

Basic Information

Licensee Name CHARLES T TITA
Credential ID 970008
Credential Number 1.049747
Credential Type Physician/Surgeon
Business Address 2302 Cold Meadow Way
Silver Spring
MD 20906-6217
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-04-18
Effective Date 2011-04-18
Expiration Date 2012-01-31
Refresh Date 2012-05-02

Office Location

Street Address 2302 COLD MEADOW WAY
City SILVER SPRING
State MD
Zip Code 20906-6217

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City SILVER SPRING
Zip Code 20906
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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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