Connecticut
Department of Consumer Protection
ROA HARB
Physician/Surgeon
License number
50924
Date granted
05/16/2012
Date expires
12/31/2014
Class
Physician/Surgeon
Status
Active
Address
111 PARK ST APT 12S, New Haven, NEW HAVEN, CT, 06511-5463
ctlicensing.org
ID 4362678
LAST UPDATED 2026-04-27 08:03:21 UTC
LAST UPDATED 2026-04-27 08:03:21 UTC
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