DANTE N LEWIS MD
Physician/surgeon


Address: 140 Bradley Ave, Hamden, CT 06514

DANTE N LEWIS MD (Credential# 561351) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 17, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

DANTE N LEWIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043769. The credential type is physician/surgeon. The effective date is May 17, 2007. The expiration date is May 31, 2008. The business address is 140 Bradley Ave, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name DANTE N LEWIS MD
Credential ID 561351
Credential Number 1.043769
Credential Type Physician/Surgeon
Business Address 140 Bradley Ave
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-08-25
Effective Date 2007-05-17
Expiration Date 2008-05-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
380035 CSP.0035833 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-08-31 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 140 BRADLEY AVE
City HAMDEN
State CT
Zip Code 06514

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Competitor

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City HAMDEN
Zip Code 06514
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HAMDEN

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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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