MARC E DOURA
Physician/surgeon


Address: 472 Stafford Ave, Bristol, CT 06010

MARC E DOURA (Credential# 542077) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 21, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

MARC E DOURA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016812. The credential type is physician/surgeon. The effective date is February 21, 1996. The expiration date is April 30, 1997. The business address is 472 Stafford Ave, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name MARC E DOURA
Credential ID 542077
Credential Number 1.016812
Credential Type Physician/Surgeon
Business Address 472 Stafford Ave
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - REVOKED
Issue Date 1974-08-01
Effective Date 1996-02-21
Expiration Date 1997-04-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
155176 CSP.0014333 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-06-02 - 1997-02-28 INACTIVE

Office Location

Street Address 472 STAFFORD AVE
City BRISTOL
State CT
Zip Code 06010

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
M R Home Care Inc 472 Stafford Ave, Bristol, CT 06010-4620 Homemaker Companion Agency 2019-11-01 ~ 2020-10-31

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Tisha A Balfour 379 West Street, Bristol, CT 06010 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Meredith Rose Martineau 15 Bishop Street, Bristol, CT 06010 Master's Level Social Worker - Temporary Permit 2020-06-26 ~ 2020-09-06
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Competitor

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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