JULIA C GRAY
Physician/surgeon


Address: 107 Glenbrook Road, Stamford, CT 06902

JULIA C GRAY (Credential# 546008) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.

Business Overview

JULIA C GRAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026420. The credential type is physician/surgeon. The effective date is January 18, 2008. The expiration date is March 31, 2009. The business address is 107 Glenbrook Road, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name JULIA C GRAY
Credential ID 546008
Credential Number 1.026420
Credential Type Physician/Surgeon
Business Address 107 Glenbrook Road
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-06-27
Effective Date 2008-01-18
Expiration Date 2009-03-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
153805 CSP.0013386 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 107 GLENBROOK ROAD
City STAMFORD
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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City STAMFORD
Zip Code 06902
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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