Monica S Theiss Physician/surgeon
222 Silvermine Ave, Norwalk, CT 06850


Monica S Theiss is licensed in the eLicensing system of Connecticut. The license credential ID is 557299. The license type is Physician/Surgeon. The license status is INACTIVE. The address is 222 Silvermine Ave, Norwalk, CT 06850. The zip code is 06850.


Monica S Theiss · 222 Silvermine Ave, Norwalk, CT 06850

Credential ID 557299
Name MONICA S THEISS
Type INDIVIDUAL
Address 222 Silvermine Ave
Norwalk, CT 06850
License Credential Physician/Surgeon
Full Credential Code 1.039715
Credential Type 1
Credential Number 39715
Status INACTIVE
Status Reason LAPSED DUE TO NON-RENEWAL
Issue Date 07/11/2001
Effective Date 03/26/2004
Expiration Date 03/31/2005
Record Refresh Date 07/08/2009

Zip 06850 · Physician/surgeon · Connecticut Business

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