MICHAEL E DU BISSETTE JR
Physician/surgeon


Address: 1275 Summer Street, Stamford, CT 06905

MICHAEL E DU BISSETTE JR (Credential# 540194) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.

Business Overview

MICHAEL E DU BISSETTE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011967. The credential type is physician/surgeon. The effective date is April 18, 2006. The expiration date is May 31, 2007. The business address is 1275 Summer Street, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name MICHAEL E DU BISSETTE JR
Credential ID 540194
Credential Number 1.011967
Credential Type Physician/Surgeon
Business Address 1275 Summer Street
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1964-10-22
Effective Date 2006-04-18
Expiration Date 2007-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
151012 CSP.0002918 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-05-16 - 2001-02-28 INACTIVE

Office Location

Street Address 1275 SUMMER STREET
City STAMFORD
State CT
Zip Code 06905

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Danyelle L Caeti 1275 Summer Street, Stamford, CT 06905 Physician/surgeon 2008-11-03 ~ 2009-12-31
Peter Mccroskery Md 1275 Summer Street, Stamford, CT 06905 Physician/surgeon 2005-05-24 ~ 2006-05-31
Ann Murtaugh Aprn 1275 Summer Street, Stamford, CT 06905 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Murray S Hamada 1275 Summer Street, Stamford, CT 06905 Physician/surgeon 1997-04-23 ~ 1998-04-30
Samantha Lavy 1275 Summer Street, Stamford, CT 06905 Marital and Family Therapist Associate ~

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Competitor

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City STAMFORD
Zip Code 06905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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