RICHARD A. DUBOSE
Physician/surgeon


Address: 73 Florence Rd Unit 1c, Branford, CT 06405-4240

RICHARD A. DUBOSE (Credential# 1068618) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 23, 1988. The license expiration date date is April 30, 1990. The license status is INACTIVE.

Business Overview

RICHARD A. DUBOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029477. The credential type is physician/surgeon. The effective date is September 23, 1988. The expiration date is April 30, 1990. The business address is 73 Florence Rd Unit 1c, Branford, CT 06405-4240. The current status is inactive.

Basic Information

Licensee Name RICHARD A. DUBOSE
Credential ID 1068618
Credential Number 1.029477
Credential Type Physician/Surgeon
Business Address 73 Florence Rd Unit 1c
Branford
CT 06405-4240
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-09-23
Effective Date 1988-09-23
Expiration Date 1990-04-30
Refresh Date 2012-05-01

Office Location

Street Address 73 FLORENCE RD UNIT 1C
City BRANFORD
State CT
Zip Code 06405-4240

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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