MATTHIAS K LEE MD
Physician/surgeon


Address: Gaylord Farm Road, Wallingford, CT 06492

MATTHIAS K LEE MD (Credential# 558275) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 12, 2003. The license expiration date date is February 29, 2004. The license status is INACTIVE.

Business Overview

MATTHIAS K LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040692. The credential type is physician/surgeon. The effective date is February 12, 2003. The expiration date is February 29, 2004. The business address is Gaylord Farm Road, Wallingford, CT 06492. The current status is inactive.

Basic Information

Licensee Name MATTHIAS K LEE MD
Credential ID 558275
Credential Number 1.040692
Credential Type Physician/Surgeon
Business Address Gaylord Farm Road
Wallingford
CT 06492
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-07-24
Effective Date 2003-02-12
Expiration Date 2004-02-29
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
320049 CSP.0032635 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address GAYLORD FARM ROAD
City WALLINGFORD
State CT
Zip Code 06492

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Roger Debaise Gaylord Farm Road, Wallingford, CT 06492 Water Treatment Plant Operator - Class I 2013-07-01 ~ 2016-06-30
Camp Gaylord Gaylord Farm Road, Wallingford, CT 06492 Youth Camp 2007-05-22 ~ 2008-05-21

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Andrea Zola 53 Alison Ave., Wallingford, CT 06492 Esthetician ~
Kyungok Choi 90 Ward St, Wallingford, CT 06492 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Giang Nguyen 45 Country Club Lane, Wallingford, CT 06492 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2021-11-30
Lc Artistry 207 North Colony Road, Wallingford, CT 06492 Esthetician ~
Katie Lee 20 Angela Dr, Wallingford, CT 06492 Paramedic 2020-09-01 ~ 2021-08-31
Vinny's Deli 567 Center St, Wallingford, CT 06492 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Michele Ruggiero 26 Leigus Road, Wallingford, CT 06492 Radiographer 2020-07-01 ~ 2021-06-30
Dianna K Ball 104 Simpson Ave, Wallingford, CT 06492 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
Ann Marie Richardson 20 Mohawk Drive, Wallingford, CT 06492 Registered Nurse 2020-07-01 ~ 2021-06-30
Joann Hummel 60 Deer Run Road, Wallingford, CT 06492 Medication Administration Certification 2018-08-21 ~ 2020-08-20
Find all Licenses in zip 06492

Competitor

Search similar business entities

City WALLINGFORD
Zip Code 06492
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WALLINGFORD

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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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