THOMAS W GRACE MD (Credential# 540695) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 22, 2008. The license expiration date date is November 30, 2009. The license status is INACTIVE.
THOMAS W GRACE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013356. The credential type is physician/surgeon. The effective date is September 22, 2008. The expiration date is November 30, 2009. The business address is 25 Paxton Road, West Hartford, CT 06107. The current status is inactive.
| Licensee Name | THOMAS W GRACE MD |
| Credential ID | 540695 |
| Credential Number | 1.013356 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Paxton Road West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1968-03-13 |
| Effective Date | 2008-09-22 |
| Expiration Date | 2009-11-30 |
| Refresh Date | 2010-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157302 | CSP.0015781 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-22 - 2009-02-28 | INACTIVE |
| Street Address | 25 PAXTON ROAD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Grace Construction Inc | 5605 Memorial Ave N, Stillwater, MN 55082-1087 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
| Grace P Kim Md | 169 Cheesespring Rd, Wilton, CT 06897-2308 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Grace K Suh Md | 641 Whitney Ave 2c, New Haven, CT 06511-2253 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Grace K Mandigo | 2150 Broadway # 126, New York, NY 10023-8255 | Physician/surgeon | ~ |
| Grace H Lee | 631 East 6th Street, Hinsdale, IL 60521 | Physician/surgeon | 2009-05-26 ~ 2010-07-31 |
| Grace Jenq Md | 55 Hickory Rd, Woodbridge, CT 06525 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Grace M Jere Md | 12 Bailey Rd, Middletown, CT 06457 | Physician/surgeon | 2006-01-17 ~ 2007-02-28 |
| Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
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| 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).