SHIRLEY A OLSEN
Physician/surgeon


Address: CT

SHIRLEY A OLSEN (Credential# 982780) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 12, 1982. The license expiration date date is July 31, 1985. The license status is INACTIVE.

Business Overview

SHIRLEY A OLSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023746. The credential type is physician/surgeon. The effective date is July 12, 1982. The expiration date is July 31, 1985. The business address is CT. The current status is inactive.

Basic Information

Licensee Name SHIRLEY A OLSEN
Credential ID 982780
Credential Number 1.023746
Credential Type Physician/Surgeon
Business Address CT
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-07-12
Effective Date 1982-07-12
Expiration Date 1985-07-31
Refresh Date 2011-02-03

Other locations

Licensee Name Office Address Credential Effective / Expiration
Shirley A Olsen 190 Sandra Drive, East Hartford, CT 06100 Notary Public Appointment 1962-10-08 ~ 1967-03-31

Office Location

State CT

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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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