Marvin S Koff Physician/surgeon
4 Ashton Circle, Simsbury, CT 06070


Marvin S Koff is licensed in the eLicensing system of Connecticut. The license credential ID is 540159. The license type is Physician/Surgeon. The license status is INACTIVE. The address is 4 Ashton Circle, Simsbury, CT 06070. The zip code is 06070.


Marvin S Koff · 4 Ashton Circle, Simsbury, CT 06070

Credential ID 540159
Name MARVIN S KOFF
Type INDIVIDUAL
Address 4 Ashton Circle
Simsbury, CT 06070
License Credential Physician/Surgeon
Full Credential Code 1.011876
Credential Type 1
Credential Number 11876
Status INACTIVE
Status Reason LAPSED DUE TO NON-RENEWAL
Issue Date 08/11/1964
Effective Date 04/01/2014
Expiration Date 03/31/2015
Record Refresh Date 07/04/2015

Zip 06070 · Physician/surgeon · Connecticut Business

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