SUSSI M VIVAR
Physician at Buckland Hl Dr, Manchester, CT

License number
Florida 22429
Issued Date
Nov 16, 2015
Effective Date
Jul 1, 2016
Expiration Date
Jun 30, 2017
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
465 Buckland Hills Dr APT 23224, Manchester, CT 06042
282 Washington St, Hartford, CT 06106
Phone
(860) 308-5347
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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