Connecticut
Department of Consumer Protection
AL GIWA
Physician/Surgeon
License number
43715
Date granted
08/08/2005
Date expires
09/30/2015
Class
Physician/Surgeon
Status
Active
Address
Guilford, CT, 06437
ctlicensing.org
ID 4350790
LAST UPDATED 2026-03-16 15:50:09 UTC
LAST UPDATED 2026-03-16 15:50:09 UTC
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