TIMOTHY D ROOT
Physician/surgeon


Address: 6050 Lawrence Drive, Indianapolis, IN 46226

TIMOTHY D ROOT (Credential# 559146) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 29, 2007. The license expiration date date is January 31, 2008. The license status is INACTIVE.

Business Overview

TIMOTHY D ROOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041563. The credential type is physician/surgeon. The effective date is January 29, 2007. The expiration date is January 31, 2008. The business address is 6050 Lawrence Drive, Indianapolis, IN 46226. The current status is inactive.

Basic Information

Licensee Name TIMOTHY D ROOT
Credential ID 559146
Credential Number 1.041563
Credential Type Physician/Surgeon
Business Address 6050 Lawrence Drive
Indianapolis
IN 46226
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-06-17
Effective Date 2007-01-29
Expiration Date 2008-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
741995 23.000246 Physician Assistant 1993-10-22 1996-01-22 - 1997-01-31 INACTIVE

Office Location

Street Address 6050 Lawrence Drive
City Indianapolis
State IN
Zip Code 46226

Licenses in the same zip code

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Dana Linaye Lollar-lee 7922 White Lane, Indianapolis, IN 46226 Registered Nurse 2019-07-01 ~ 2020-07-31
Carl F Thelin 5214 Greenwillow Ct, Indianapolis, IN 46226 Professional Engineer 1800-12-27 ~ 1995-01-31
Ta'shima E Daniels 4651 Englewood Dr, Indianapolis, IN 46226 Licensed Practical Nurse 2007-10-03 ~ 2008-09-30
Rolando Depaz 8820 Pendleton Pike, #728, Indianapolis, IN 46226 Asbestos Abatement Worker 2002-08-16 ~ 2002-11-30
John C Stewart 3816 Harvest Ave, Indianapolis, IN 46226 Electrical Unlimited Journeyperson ~
Endowment Fund of The Phi Kappa Psi Fraternity 5395 Emerson Way, Indianapolis, IN 46226-1415 Public Charity 2019-12-01 ~ 2020-11-30
Michael C Lady 4981 N Franklin Rd, Indianapolis, IN 46226-2047 Temporary Certified General Real Estate Appraiser 2020-01-06 ~ 2020-07-06
Scott William Larsen 4981 N Franklin Rd, Indianapolis, IN 46226-2047 Temporary Certified General Real Estate Appraiser 2020-01-06 ~ 2020-07-06
Andre L Dyson 5334 Susan Ln, Indianapolis, IN 46226-3258 Public Service Technician - Telephone 2011-03-04 ~ 2011-09-30
Kimberly M Riley 8848 Elmonte Dr, Indianapolis, IN 46226-5541 Licensed Practical Nurse ~
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Competitor

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City Indianapolis
Zip Code 46226
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Indianapolis

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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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