EDWARD NEISS MD
Physician/surgeon


Address: 200 Charter Oak Dr, New Canaan, CT 06840

EDWARD NEISS MD (Credential# 543848) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 15, 1999. The license expiration date date is December 31, 2000. The license status is INACTIVE.

Business Overview

EDWARD NEISS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021800. The credential type is physician/surgeon. The effective date is October 15, 1999. The expiration date is December 31, 2000. The business address is 200 Charter Oak Dr, New Canaan, CT 06840. The current status is inactive.

Basic Information

Licensee Name EDWARD NEISS MD
Credential ID 543848
Credential Number 1.021800
Credential Type Physician/Surgeon
Business Address 200 Charter Oak Dr
New Canaan
CT 06840
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-11-30
Effective Date 1999-10-15
Expiration Date 2000-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
143230 CSP.0009247 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 200 CHARTER OAK DR
City NEW CANAAN
State CT
Zip Code 06840

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Joes Pizza 23 Locust Avenue, New Canaan, CT 06840 Bakery 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW CANAAN
Zip Code 06840
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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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