DAVID M RENISON
Physician/surgeon


Address: Po Box 75, Middletown, CT 06457-0075

DAVID M RENISON (Credential# 544378) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.

Business Overview

DAVID M RENISON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022949. The credential type is physician/surgeon. The effective date is July 1, 2013. The expiration date is June 30, 2014. The business address is Po Box 75, Middletown, CT 06457-0075. The current status is inactive.

Basic Information

Licensee Name DAVID M RENISON
Credential ID 544378
Credential Number 1.022949
Credential Type Physician/Surgeon
Business Address Po Box 75
Middletown
CT 06457-0075
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 1981-07-16
Effective Date 2013-07-01
Expiration Date 2014-06-30
Refresh Date 2017-09-23

Office Location

Street Address PO BOX 75
City MIDDLETOWN
State CT
Zip Code 06457-0075

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Competitor

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City MIDDLETOWN
Zip Code 06457
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIDDLETOWN

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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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