JAMES H SCANLON JR
Physician/surgeon


Address: Village At South Farms, Middletown, CT 06457

JAMES H SCANLON JR (Credential# 540388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 29, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

JAMES H SCANLON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012554. The credential type is physician/surgeon. The effective date is November 29, 2000. The expiration date is October 31, 2001. The business address is Village At South Farms, Middletown, CT 06457. The current status is inactive.

Basic Information

Licensee Name JAMES H SCANLON JR
Credential ID 540388
Credential Number 1.012554
Credential Type Physician/Surgeon
Business Address Village At South Farms
Middletown
CT 06457
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1966-04-11
Effective Date 2000-11-29
Expiration Date 2001-10-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
148309 CSP.0000532 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address Village At South Farms
City Middletown
State CT
Zip Code 06457

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City Middletown
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Middletown

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James E Scanlon 4 5 Sagamore Terr, Westbrook, CT 06498 Notary Public Appointment 1984-08-01 ~ 1989-03-31
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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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