RICHARD H DYER JR
Physician/surgeon


Address: 306 Black Rock Rd, Watertown, CT 06795-1417

RICHARD H DYER JR (Credential# 541404) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.

Business Overview

RICHARD H DYER JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015228. The credential type is physician/surgeon. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 306 Black Rock Rd, Watertown, CT 06795-1417. The current status is inactive.

Basic Information

Licensee Name RICHARD H DYER JR
Credential ID 541404
Credential Number 1.015228
Credential Type Physician/Surgeon
Business Address 306 Black Rock Rd
Watertown
CT 06795-1417
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1971-09-16
Effective Date 2010-07-01
Expiration Date 2011-06-30
Refresh Date 2011-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
151494 CSP.0002981 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 306 BLACK ROCK RD
City WATERTOWN
State CT
Zip Code 06795-1417

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City WATERTOWN
Zip Code 06795
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WATERTOWN

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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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