MARTIN PORTILLO
Physician/surgeon


Address: 28 Ricky Ln, Norwalk, CT 06854-3403

MARTIN PORTILLO (Credential# 983799) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 10, 1991. The license expiration date date is March 31, 1992. The license status is INACTIVE.

Business Overview

MARTIN PORTILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031549. The credential type is physician/surgeon. The effective date is May 10, 1991. The expiration date is March 31, 1992. The business address is 28 Ricky Ln, Norwalk, CT 06854-3403. The current status is inactive.

Basic Information

Licensee Name MARTIN PORTILLO
Credential ID 983799
Credential Number 1.031549
Credential Type Physician/Surgeon
Business Address 28 Ricky Ln
Norwalk
CT 06854-3403
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-05-10
Effective Date 1991-05-10
Expiration Date 1992-03-31
Refresh Date 2011-02-08

Office Location

Street Address 28 RICKY LN
City NORWALK
State CT
Zip Code 06854-3403

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Renaissance Enterprises LLC 34 Ricky Ln, Norwalk, CT 06854-3403 Home Improvement Contractor 2010-03-29 ~ 2010-11-30
Barbara Seco 16 Ricky Ln, Norwalk, CT 06854-3403 Family Child Care Substitute 2015-12-11 ~ 2017-12-31
Amanda A Wierenga 32 Ricky Ln, Norwalk, CT 06854-3403 Massage Therapist 2015-04-01 ~ 2017-03-31
Samantha Rae Seco 16 Ricky Ln, Norwalk, CT 06854-3403 Family Child Care Assistant ~

Licenses in the same zip code

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Vanessa Benitez 190 Ely Ave., Norwalk, CT 06854 Registered Nurse 2020-07-01 ~ 2021-06-30
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Farrah Marin 63 Bayview Avenue, Norwalk, CT 06854 Master's Level Social Worker ~
Irma M Ross 30 Lenox Ave, Norwalk, CT 06854 Professional Counselor 2020-08-01 ~ 2021-07-31
Community Plates Inc. 165 Water Street, Norwalk, CT 06854 Public Charity 2020-12-01 ~ 2021-11-30
Roberto Arzuaga · West Cedar Grocery 155 West Cedar St, Norwalk, CT 06854 Grocery Beer 2020-07-17 ~ 2021-07-16
Faith Kiriakidis 130 Flax Hill Road, Norwalk, CT 06854 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Andrew Gotlin 1 North Water Street, Norwalk, CT 06854 Physician/surgeon 2020-08-01 ~ 2021-07-31
Shunxia Guan 360 Connecticut Ste 2, Norwalk, CT 06854 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Competitor

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City NORWALK
Zip Code 06854
License Type Physician/Surgeon
License Type + County Physician/Surgeon + 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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