BARBARA S LEWIS
Physician/surgeon


Address: 66 Beacon St #48, Boston, MA 02108

BARBARA S LEWIS (Credential# 549391) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 31, 1994. The license expiration date date is October 31, 1995. The license status is INACTIVE.

Business Overview

BARBARA S LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031683. The credential type is physician/surgeon. The effective date is October 31, 1994. The expiration date is October 31, 1995. The business address is 66 Beacon St #48, Boston, MA 02108. The current status is inactive.

Basic Information

Licensee Name BARBARA S LEWIS
Credential ID 549391
Credential Number 1.031683
Credential Type Physician/Surgeon
Business Address 66 Beacon St #48
Boston
MA 02108
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-07-01
Effective Date 1994-10-31
Expiration Date 1995-10-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
160395 CSP.0019474 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-03-19 - 1995-03-01 INACTIVE

Office Location

Street Address 66 BEACON ST #48
City BOSTON
State MA
Zip Code 02108

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Competitor

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City BOSTON
Zip Code 02108
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOSTON

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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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