COLSTON MCEVOY MD
Physician/surgeon


Address: 175 Westport Tpke, Fairfield, CT 06430

COLSTON MCEVOY MD (Credential# 548834) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 30, 2002. The license expiration date date is October 31, 2003. The license status is INACTIVE.

Business Overview

COLSTON MCEVOY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030983. The credential type is physician/surgeon. The effective date is September 30, 2002. The expiration date is October 31, 2003. The business address is 175 Westport Tpke, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name COLSTON MCEVOY MD
Credential ID 548834
Credential Number 1.030983
Credential Type Physician/Surgeon
Business Address 175 Westport Tpke
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-07-27
Effective Date 2002-09-30
Expiration Date 2003-10-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
159241 CSP.0019174 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-03-01 - 2003-02-28 INACTIVE

Office Location

Street Address 175 WESTPORT TPKE
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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Owen Mcevoy 727 Bleeker Ave, Mamaroneck, NY 10543 Architect 2019-08-01 ~ 2020-07-31
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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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