WILLIAM T HENNESSY
Physician/surgeon


Address: Po Box 325, Amagansett, NY 11930-0325

WILLIAM T HENNESSY (Credential# 544964) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.

Business Overview

WILLIAM T HENNESSY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024320. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is Po Box 325, Amagansett, NY 11930-0325. The current status is inactive.

Basic Information

Licensee Name WILLIAM T HENNESSY
Credential ID 544964
Credential Number 1.024320
Credential Type Physician/Surgeon
Business Address Po Box 325
Amagansett
NY 11930-0325
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1983-02-23
Effective Date 2016-07-01
Expiration Date 2017-06-30
Refresh Date 2017-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
144651 CSP.0011367 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-05-02 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address PO BOX 325
City AMAGANSETT
State NY
Zip Code 11930-0325

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Competitor

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City AMAGANSETT
Zip Code 11930
License Type Physician/Surgeon
License Type + County Physician/Surgeon + AMAGANSETT

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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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