TARAYN A FAIRLIE
Physician/surgeon


Address: 1476 Crescent Walk, Decatur, GA 30033

TARAYN A FAIRLIE (Credential# 912564) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2011. The license expiration date date is June 30, 2012. The license status is INACTIVE.

Business Overview

TARAYN A FAIRLIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048460. The credential type is physician/surgeon. The effective date is July 1, 2011. The expiration date is June 30, 2012. The business address is 1476 Crescent Walk, Decatur, GA 30033. The current status is inactive.

Basic Information

Licensee Name TARAYN A FAIRLIE
Credential ID 912564
Credential Number 1.048460
Credential Type Physician/Surgeon
Business Address 1476 Crescent Walk
Decatur
GA 30033
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-02-11
Effective Date 2011-07-01
Expiration Date 2012-06-30
Refresh Date 2012-10-05

Other licenses

ID Credential Code Credential Type Issue Term Status
450656 CSP.0040641 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-12-13 2007-03-13 - 2008-02-29 INACTIVE

Office Location

Street Address 1476 Crescent Walk
City Decatur
State GA
Zip Code 30033

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Ahmed M. Abdel-raouf 2178 North Decatur Road, Decatur, GA 30033 Physician/surgeon 2020-09-01 ~ 2021-08-31
Rebecca R Nelson 2251 Creek Park Road, Decatur, GA 30033 Registered Nurse 2020-04-01 ~ 2021-03-31
Elizabeth Cutter 2823 Ponderosa Circle, Decatur, GA 30033 Marital and Family Therapist 2019-12-01 ~ 2020-11-30
Mary R Nugent 1189 Mayfield Drive, Decatur, GA 30033 Registered Nurse 2017-06-01 ~ 2018-05-31
Paul A Carlson 1908 Ludovie Lane, Decatur, GA 30033 Professional Engineer 2014-02-01 ~ 2015-01-31
William A Bennett Jr · Heery Architects & Engr Inc 2276 Fair Oaks Rd, Decatur, GA 30033 Professional Engineer 1990-02-06 ~ 1991-01-31
Scott Alan Davis 647 Park Lane, Decatur, GA 30033 Professional Engineer 2004-02-01 ~ 2005-01-31
Georgia Innocence Project Inc 2645 North Decatur Road, Decatur, GA 30033 Public Charity 2010-12-01 ~ 2011-11-30
Chester Mcdonnell 601 Tuxworth Circle, Decatur, GA 30033 Registered Nurse 2008-05-02 ~ 2009-06-30
Louise J Short 2520 Oak Crossing, Decatur, GA 30033 Physician/surgeon 1992-10-23 ~ 1993-06-30
Find all Licenses in zip 30033

Competitor

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City Decatur
Zip Code 30033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Decatur

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Jenna R Fairlie 68 Winterberry Lane, Florence, MA 01062 Registered Nurse 2011-01-01 ~ 2011-12-31
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David A Fairlie 1513 Pangborn Station Dr, Decatur, GA 30033-1845 Engineer-in-training 2011-02-15 ~ 2021-02-15
Chester W Fairlie 14 Green Valley Lake Road, East Lyme, CT 06333 Emergency Medical Technician ~ 1995-04-01
Penny Lamhut Md Genesis Physician Services, Windsor, CT 06098 Physician/surgeon 1999-07-15 ~ 2000-07-31
Gilbert L Drozdow Envision Physician Services, Plantation, FL 33322 Physician/surgeon 2019-10-01 ~ 2020-09-30
Russell H Harris Md Envision Physician Services, Horsham, PA 19044 Physician/surgeon 2019-09-01 ~ 2020-08-31
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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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