NIELS M DUA MD (Credential# 557292) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2002. The license expiration date date is June 30, 2003. The license status is INACTIVE.
NIELS M DUA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039708. The credential type is physician/surgeon. The effective date is May 6, 2002. The expiration date is June 30, 2003. The business address is 10 Fenwick Dr, Farmington, CT 06032. The current status is inactive.
| Licensee Name | NIELS M DUA MD |
| Credential ID | 557292 |
| Credential Number | 1.039708 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Fenwick Dr Farmington CT 06032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-07-06 |
| Effective Date | 2002-05-06 |
| Expiration Date | 2003-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 286308 | CSP.0031232 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 10 FENWICK DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Niels E Berg | 104 Bayberry Hill Road, Ridgefield, CT 06877 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Niels P Ebbesen | 6 Pondfield Rd, New Fairfield, CT 06812-2651 | Paramedic | 2019-06-13 ~ 2020-06-30 |
| Niels I Lund | 13 Indian Run, Thompsonville, CT 06082 | Notary Public Appointment | 1966-03-04 ~ 1971-03-31 |
| Niels H Pennings | 6 Walker Court, Greenwich, CT 06831 | Real Estate Salesperson | 2020-05-28 ~ 2021-05-31 |
| Niels J Thomsen | 175 Berlin Ave Apt 29, Southington, CT 06489-3263 | Advanced Emergency Medical Technician | 2017-12-08 ~ 2020-09-30 |
| Niels G Host | 34 Hendrie Av, Riverside, CT 06878 | Notary Public Appointment | 1984-03-22 ~ 1989-03-31 |
| Niels U Gothgen | 408b Fountain St, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2005-04-11 ~ 2006-02-28 |
| Niels I Poulsen | 202 Main Street, Ansonia, CT 06401 | Notary Public Appointment | 1970-03-01 ~ 1975-03-31 |
| Niels L Larsen IIi · Insul Sash (s) | Great Hill Pond Rd, Portland, CT 06480 | Home Improvement Salesperson | ~ 1993-03-01 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on NIELS M DUA MD.
| 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).