DEARBORN EDWARDS MD
PFIZER INCORPORATED


Address: 50 Pequot Ave Ms6025-c2168, New London, CT 06320

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
164043 CSP.0022187 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE

Office Location

Street Address 50 PEQUOT AVE MS6025-C2168
City NEW LONDON
State CT
Zip Code 06320

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City NEW LONDON
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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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