LAWRENCE M DAVIS
Physician/surgeon


Address: 108 Montoya Drive, Branford, CT 06405

LAWRENCE M DAVIS (Credential# 551941) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

LAWRENCE M DAVIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034343. The credential type is physician/surgeon. The effective date is May 1, 1996. The expiration date is June 30, 1997. The business address is 108 Montoya Drive, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name LAWRENCE M DAVIS
Credential ID 551941
Credential Number 1.034343
Credential Type Physician/Surgeon
Business Address 108 Montoya Drive
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-03-24
Effective Date 1996-05-01
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
164597 CSP.0023282 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-06-22 - 1996-02-28 INACTIVE

Office Location

Street Address 108 MONTOYA DRIVE
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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