DOUGLAS W BOWERMAN
Physician/surgeon


Address: 109 Court Street, 3rd Floor, West Haven, CT 06516

DOUGLAS W BOWERMAN (Credential# 556771) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 14, 2000. The license expiration date date is October 31, 2001. The license status is INACTIVE.

Business Overview

DOUGLAS W BOWERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039183. The credential type is physician/surgeon. The effective date is December 14, 2000. The expiration date is October 31, 2001. The business address is 109 Court Street, 3rd Floor, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name DOUGLAS W BOWERMAN
Credential ID 556771
Credential Number 1.039183
Credential Type Physician/Surgeon
Business Address 109 Court Street, 3rd Floor
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-12-14
Effective Date 2000-12-14
Expiration Date 2001-10-31
Refresh Date 2009-07-08

Office Location

Street Address 109 Court Street, 3rd Floor
City West Haven
State CT
Zip Code 06516

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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City West Haven
Zip Code 06516
License Type Physician/Surgeon
License Type + County Physician/Surgeon + West Haven

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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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