ROBERT T DUFORT (Credential# 541091) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
ROBERT T DUFORT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014392. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 20 Pleasant View Cv, Lisbon, CT 06351-7010. The current status is inactive.
Licensee Name | ROBERT T DUFORT |
Credential ID | 541091 |
Credential Number | 1.014392 |
Credential Type | Physician/Surgeon |
Business Address |
20 Pleasant View Cv Lisbon CT 06351-7010 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1970-06-08 |
Effective Date | 2014-07-01 |
Expiration Date | 2015-06-30 |
Refresh Date | 2015-10-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
192101 | CSP.0026415 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | 20 PLEASANT VIEW CV |
City | LISBON |
State | CT |
Zip Code | 06351-7010 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mark H Sullivan | 30 Pleasant View Cv, Lisbon, CT 06351-7010 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
Find all Licenses in zip 06351 |
City | LISBON |
Zip Code | 06351 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LISBON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Segond De Dufort | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2003-11-26 ~ 2006-11-25 |
Relais De Dufort Vivens | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-10-07 ~ 2018-10-06 |
L'epiphane De Dufort Vivens Red Margaux | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-08-18 ~ 2016-08-17 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
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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).