DEARBORN EDWARDS MD (Credential# 551328) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 17, 2005. The license expiration date date is August 31, 2006. The license status is INACTIVE.
DEARBORN EDWARDS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033729. The credential type is physician/surgeon. The effective date is August 17, 2005. The expiration date is August 31, 2006. The business address is 50 Pequot Ave Ms6025-c2168, New London, CT 06320. The current status is inactive.
Licensee Name | DEARBORN EDWARDS MD |
Business Name | PFIZER INCORPORATED |
Credential ID | 551328 |
Credential Number | 1.033729 |
Credential Type | Physician/Surgeon |
Business Address |
50 Pequot Ave Ms6025-c2168 New London CT 06320 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-05-20 |
Effective Date | 2005-08-17 |
Expiration Date | 2006-08-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
164043 | CSP.0022187 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 50 PEQUOT AVE MS6025-C2168 |
City | NEW LONDON |
State | CT |
Zip Code | 06320 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pfizer Incorporated | 445 Eastern Point Rd, Groton, CT 06340-5157 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Pfizer Inc. · Pfizer, Inc. | 445 Eastern Point Rd Ms 9060, Groton, CT 06340-5157 | Certified Ems Organization | 2019-10-01 ~ 2020-09-30 |
James B Chung | Pfizer, Inc., Groton, CT 06340 | Physician/surgeon | 2003-06-05 ~ 2004-07-31 |
Allan Z Safferman Md | Pfizer Inc., Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kevin D Wolter | Pfizer, Groton, CT 06340 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Alexander J Fernandez | 4 Middlebury Ct, Dearborn, MI 48120 | Physician/surgeon | 2008-10-10 ~ 2009-09-30 |
Pfizer Pharmaceuticals LLC · Pfizer Pharmaceuticals, LLC | Po Box 628, Barceloneta, PR 00617 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-11-22 ~ |
Sajad Zalzala | 6437 Argyle St, Dearborn, MI 48126-2136 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Hussein A Mazloum | 5053 Williamson St, Dearborn, MI 48126 | Physician/surgeon | 2000-08-02 ~ 2001-03-31 |
Frank M Fayz | 5560 Nottingham Court, Dearborn, MI 48126 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).