LAURIE M BETTS
Physician/surgeon


Address: 365 Willard Avenue, Newington, CT 06111

LAURIE M BETTS (Credential# 550925) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 1996. The license expiration date date is May 31, 1997. The license status is INACTIVE.

Business Overview

LAURIE M BETTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033326. The credential type is physician/surgeon. The effective date is April 9, 1996. The expiration date is May 31, 1997. The business address is 365 Willard Avenue, Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name LAURIE M BETTS
Credential ID 550925
Credential Number 1.033326
Credential Type Physician/Surgeon
Business Address 365 Willard Avenue
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-09-17
Effective Date 1996-04-09
Expiration Date 1997-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
164482 CSP.0021437 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 365 WILLARD AVENUE
City NEWINGTON
State CT
Zip Code 06111

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Jeffrey M Kagan 365 Willard Avenue, Newington, CT 06111-2316 Physician/surgeon 2020-07-01 ~ 2021-06-30
Theodore J Adamidis Dmd 365 Willard Avenue, Newington, CT 06111 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Stacie L Zibel 365 Willard Avenue, Newington, CT 06111 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

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Competitor

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City NEWINGTON
Zip Code 06111
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEWINGTON

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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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