MARK QUIGLEY MD
Physician/surgeon


Address: 437 Russell Ave, Suffield, CT 06078

MARK QUIGLEY MD (Credential# 543208) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 13, 1997. The license expiration date date is April 30, 1998. The license status is INACTIVE.

Business Overview

MARK QUIGLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020003. The credential type is physician/surgeon. The effective date is February 13, 1997. The expiration date is April 30, 1998. The business address is 437 Russell Ave, Suffield, CT 06078. The current status is inactive.

Basic Information

Licensee Name MARK QUIGLEY MD
Credential ID 543208
Credential Number 1.020003
Credential Type Physician/Surgeon
Business Address 437 Russell Ave
Suffield
CT 06078
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-02-10
Effective Date 1997-02-13
Expiration Date 1998-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
146593 CSP.0008548 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 437 RUSSELL AVE
City SUFFIELD
State CT
Zip Code 06078

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Competitor

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City SUFFIELD
Zip Code 06078
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SUFFIELD

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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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