Linda L Fan Physician/surgeon
14 Horseshoe Rd, Guilford, CT 064372918


Linda L Fan is licensed in the eLicensing system of Connecticut. The license credential ID is 1115771. The license type is Physician/Surgeon. The license status is ACTIVE. The address is 14 Horseshoe Rd, Guilford, CT 064372918. The zip code is 06437.


Linda L Fan · 14 Horseshoe Rd, Guilford, CT 064372918

Credential ID 1115771
Name LINDA L FAN
Type INDIVIDUAL
Address 14 HORSESHOE RD
GUILFORD, CT 064372918
License Credential Physician/Surgeon
Full Credential Code 1.051310
Credential Type 1
Credential Number 51310
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 08/16/2012
Effective Date 08/01/2016
Expiration Date 07/31/2017
Record Refresh Date 06/01/201

LINDA L FAN · Connecticut Business

Linda L Fan · Controlled Substance Registration for Practitioner 14 Horseshoe Rd, Guilford, CT 064372918

Zip 06437 · Physician/surgeon · Connecticut Business

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