EDWARD N DITERS
Physician/surgeon


Address: 13 Lilac Lane, Farmington, CT 06032

EDWARD N DITERS (Credential# 538610) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 23, 1993. The license expiration date date is September 30, 1994. The license status is INACTIVE.

Business Overview

EDWARD N DITERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006125. The credential type is physician/surgeon. The effective date is September 23, 1993. The expiration date is September 30, 1994. The business address is 13 Lilac Lane, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name EDWARD N DITERS
Credential ID 538610
Credential Number 1.006125
Credential Type Physician/Surgeon
Business Address 13 Lilac Lane
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1949-05-11
Effective Date 1993-09-23
Expiration Date 1994-09-30
Refresh Date 2009-07-08

Office Location

Street Address 13 LILAC LANE
City FARMINGTON
State CT
Zip Code 06032

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Kimberly A. Caprio Hartford Healthcare Medical Group, Farmington, CT 06032 Physician/surgeon 2020-07-01 ~ 2021-06-30
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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Edward J Day 993 Racebrook Rd., Woodbridge, CT 06525 Physician/surgeon 2010-08-01 ~ 2011-07-31
Edward R Harvey Jr Po Box 243, Seymour, CT 06483 Physician/surgeon 1993-01-25 ~ 1994-01-31
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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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