ANDRE J BELLAVANCE
Physician/surgeon


Address: 3120 Taschereau, Greenfield Park Pq, J4V 2H1

ANDRE J BELLAVANCE (Credential# 545307) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 9, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.

Business Overview

ANDRE J BELLAVANCE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025065. The credential type is physician/surgeon. The effective date is June 9, 1997. The expiration date is July 31, 1998. The business address is 3120 Taschereau, Greenfield Park Pq, J4V 2H1. The current status is inactive.

Basic Information

Licensee Name ANDRE J BELLAVANCE
Credential ID 545307
Credential Number 1.025065
Credential Type Physician/Surgeon
Business Address 3120 Taschereau
Greenfield Park Pq
J4V 2H1
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-03-01
Effective Date 1997-06-09
Expiration Date 1998-07-31
Refresh Date 2009-07-08

Office Location

Street Address 3120 TASCHEREAU
City GREENFIELD PARK PQ
Zip Code J4V 2H1

Competitor

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City GREENFIELD PARK PQ
Zip Code J4V 2
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENFIELD PARK PQ

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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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