DOROTHEA R PECK
Physician/surgeon


Address: 55 Hickory Rd, Woodbridge, CT 06525

DOROTHEA R PECK (Credential# 538517) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 24, 1992. The license expiration date date is January 31, 1993. The license status is INACTIVE.

Business Overview

DOROTHEA R PECK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005632. The credential type is physician/surgeon. The effective date is March 24, 1992. The expiration date is January 31, 1993. The business address is 55 Hickory Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name DOROTHEA R PECK
Credential ID 538517
Credential Number 1.005632
Credential Type Physician/Surgeon
Business Address 55 Hickory Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-11-18
Effective Date 1992-03-24
Expiration Date 1993-01-31
Refresh Date 2009-07-08

Office Location

Street Address 55 HICKORY RD
City WOODBRIDGE
State CT
Zip Code 06525

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Licensee Name Office Address Credential Effective / Expiration
Grace Jenq Md 55 Hickory Rd, Woodbridge, CT 06525 Physician/surgeon 2016-05-01 ~ 2017-04-30

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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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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