THOMAS E MASON MD
Physician/surgeon


Address: 11 Hidden Pond Lane, Huntington, CT 06484

THOMAS E MASON MD (Credential# 553194) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 29, 2005. The license expiration date date is November 30, 2006. The license status is INACTIVE.

Business Overview

THOMAS E MASON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035601. The credential type is physician/surgeon. The effective date is September 29, 2005. The expiration date is November 30, 2006. The business address is 11 Hidden Pond Lane, Huntington, CT 06484. The current status is inactive.

Basic Information

Licensee Name THOMAS E MASON MD
Credential ID 553194
Credential Number 1.035601
Credential Type Physician/Surgeon
Business Address 11 Hidden Pond Lane
Huntington
CT 06484
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-09-27
Effective Date 2005-09-29
Expiration Date 2006-11-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
116396 CSP.0025003 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 11 HIDDEN POND LANE
City HUNTINGTON
State CT
Zip Code 06484

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City HUNTINGTON
Zip Code 06484
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HUNTINGTON

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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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