ROBERT C OLSEN
Physician/surgeon


Address: 685 Pequot Ave, New London, CT 06320

ROBERT C OLSEN (Credential# 538629) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 10, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

ROBERT C OLSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006210. The credential type is physician/surgeon. The effective date is June 10, 1997. The expiration date is March 31, 1998. The business address is 685 Pequot Ave, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name ROBERT C OLSEN
Credential ID 538629
Credential Number 1.006210
Credential Type Physician/Surgeon
Business Address 685 Pequot Ave
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1949-09-14
Effective Date 1997-06-10
Expiration Date 1998-03-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
145370 CSP.0007006 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 685 PEQUOT AVE
City NEW LONDON
State CT
Zip Code 06320

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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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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