ALEXANDRE M WEST
Physician/surgeon


Address: 22 Farm Dr, Farmington, CT 06032-2720

ALEXANDRE M WEST (Credential# 2007608) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 5, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ALEXANDRE M WEST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065399. The credential type is physician/surgeon. The effective date is May 5, 2020. The expiration date is March 31, 2021. The business address is 22 Farm Dr, Farmington, CT 06032-2720. The current status is active.

Basic Information

Licensee Name ALEXANDRE M WEST
Credential ID 2007608
Credential Number 1.065399
Credential Type Physician/Surgeon
Business Address 22 Farm Dr
Farmington
CT 06032-2720
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-05-05
Effective Date 2020-05-05
Expiration Date 2021-03-31
Refresh Date 2020-05-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1352681 CSP.0062695 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-06-28 2019-03-01 - 2021-02-28 ACTIVE
1488922 1.058317-RES Resident Physician 2016-07-01 2016-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 22 FARM DR
City FARMINGTON
State CT
Zip Code 06032-2720

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Stephanie A. Fink 22 Kent Lane, Farmington, CT 06032 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City FARMINGTON
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

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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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