PETER M DEAN MD (Credential# 538653) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 18, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
PETER M DEAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006312. The credential type is physician/surgeon. The effective date is March 18, 2002. The expiration date is May 31, 2003. The business address is Rr 1 Box 296, Woodstock, VT 05091-9507. The current status is inactive.
Licensee Name | PETER M DEAN MD |
Credential ID | 538653 |
Credential Number | 1.006312 |
Credential Type | Physician/Surgeon |
Business Address |
Rr 1 Box 296 Woodstock VT 05091-9507 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1949-12-06 |
Effective Date | 2002-03-18 |
Expiration Date | 2003-05-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
153064 | CSP.0003195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
Street Address | RR 1 BOX 296 |
City | WOODSTOCK |
State | VT |
Zip Code | 05091-9507 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Daniel B Bauer | 187 Hartland Hill Rd, Woodstock, VT 05091 | Fire Protection Limited Journeyperson | 2019-11-01 ~ 2020-10-31 |
David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
Barbara Z Peck | 8 Barberry Hill Road, Woodstock, VT 05091 | Registered Nurse | 1995-09-22 ~ 1996-09-30 |
John M Bruno | P.o. Box 387, Woodstock, VT 05091 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
John N Holland | Po Box 635, Woodstock, VT 05091 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
Mary M Maxham | P O Box 517, Woodstock, VT 05091 | Registered Nurse | 1998-06-24 ~ 1999-06-30 |
Gail A Long | Rr 1 Box 51a, Woodstock, VT 05091 | Registered Nurse | 1995-04-20 ~ 1996-06-30 |
John F Rossi | 3 Bond St, Woodstock, VT 05091-1163 | Landscape Architect | 2009-08-01 ~ 2010-07-31 |
Moira J Oconnor | 558 Church Hill Rd, Woodstock, VT 05091-4239 | Massage Therapist | 2013-12-01 ~ 2015-11-30 |
Paul N Graffagnino | P.o. Box 443, Woodstock, VT 05091-4443 | Physician/surgeon | 1996-02-23 ~ 1997-04-30 |
Find all Licenses in zip 05091 |
City | WOODSTOCK |
Zip Code | 05091 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WOODSTOCK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter A Michaud Pa | 107 Dean Street, Stamford, CT 06902 | Physician Assistant | 2000-08-01 ~ 2001-07-31 |
Dean R Cummins | 310 N Highland Ave Ste 6, Ossining, NY 10562-6301 | Physician/surgeon | 2017-12-01 ~ 2018-12-31 |
Alejandra Valencia Md | 535 Dean St Apt 604, Brooklyn, NY 11217-2183 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Patrick J Dean | 150 Collins St., Memphis, TN 38112 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
James Dean Md | 5 Kennedy Dr, Putnam, CT 06260 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kristin M Dean | 1106 2nd St # 342, Encinitas, CA 92024-5008 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Dean N Martin | 4 Nutmeg Lane, Wilton, CT 06897 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Leslie Touger | 102 Dean Street, Stamford, CT 06902 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
William J Dean | 3 Eastwood Drive, Southampton, MA 01073 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
Juli Dean Md | C/o Douglas Shore, Guilford, CT 06437 | Physician/surgeon | 1997-07-15 ~ 1998-08-31 |
Please comment or provide details below to improve the information on PETER M DEAN MD.
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).