FREDERICK C LANE
Physician/surgeon


Address: 143 Old Hyde Rd Ext, Weston, CT 06883

FREDERICK C LANE (Credential# 548942) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 20, 1993. The license expiration date date is September 30, 1994. The license status is INACTIVE.

Business Overview

FREDERICK C LANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031119. The credential type is physician/surgeon. The effective date is December 20, 1993. The expiration date is September 30, 1994. The business address is 143 Old Hyde Rd Ext, Weston, CT 06883. The current status is inactive.

Basic Information

Licensee Name FREDERICK C LANE
Credential ID 548942
Credential Number 1.031119
Credential Type Physician/Surgeon
Business Address 143 Old Hyde Rd Ext
Weston
CT 06883
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-09-14
Effective Date 1993-12-20
Expiration Date 1994-09-30
Refresh Date 2009-07-08

Office Location

Street Address 143 OLD HYDE RD EXT
City WESTON
State CT
Zip Code 06883

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Competitor

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City WESTON
Zip Code 06883
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WESTON

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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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