FRANK G D'ELIA MD
Physician/surgeon


Address: 4 Old South Rd, Mystic, CT 06355

FRANK G D'ELIA MD (Credential# 538953) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 24, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

FRANK G D'ELIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007687. The credential type is physician/surgeon. The effective date is April 24, 1996. The expiration date is April 30, 1997. The business address is 4 Old South Rd, Mystic, CT 06355. The current status is inactive.

Basic Information

Licensee Name FRANK G D'ELIA MD
Credential ID 538953
Credential Number 1.007687
Credential Type Physician/Surgeon
Business Address 4 Old South Rd
Mystic
CT 06355
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1954-11-08
Effective Date 1996-04-24
Expiration Date 1997-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
153290 CSP.0003786 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 4 OLD SOUTH RD
City MYSTIC
State CT
Zip Code 06355

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Competitor

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City MYSTIC
Zip Code 06355
License Type Physician/Surgeon
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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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