AMY WEIL MD
Physician/surgeon


Address: 111 Rimmod Road, Woodbridge, CT 06525

AMY WEIL MD (Credential# 553235) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 3, 1997. The license expiration date date is August 31, 1998. The license status is INACTIVE.

Business Overview

AMY WEIL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035642. The credential type is physician/surgeon. The effective date is September 3, 1997. The expiration date is August 31, 1998. The business address is 111 Rimmod Road, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name AMY WEIL MD
Credential ID 553235
Credential Number 1.035642
Credential Type Physician/Surgeon
Business Address 111 Rimmod Road
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-10-25
Effective Date 1997-09-03
Expiration Date 1998-08-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
190909 CSP.0026333 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-12-03 - 1998-02-28 INACTIVE

Office Location

Street Address 111 RIMMOD ROAD
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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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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