RICHARD ALAN LEWIS
Physician/surgeon


Address: 1294 Boulevard, West Hartford, CT 06119-1605

RICHARD ALAN LEWIS (Credential# 1075993) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 26, 1980. The license expiration date date is December 31, 1984. The license status is INACTIVE.

Business Overview

RICHARD ALAN LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022241. The credential type is physician/surgeon. The effective date is June 26, 1980. The expiration date is December 31, 1984. The business address is 1294 Boulevard, West Hartford, CT 06119-1605. The current status is inactive.

Basic Information

Licensee Name RICHARD ALAN LEWIS
Credential ID 1075993
Credential Number 1.022241
Credential Type Physician/Surgeon
Business Address 1294 Boulevard
West Hartford
CT 06119-1605
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1980-06-26
Effective Date 1980-06-26
Expiration Date 1984-12-31
Refresh Date 2012-06-14

Office Location

Street Address 1294 BOULEVARD
City WEST HARTFORD
State CT
Zip Code 06119-1605

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City WEST HARTFORD
Zip Code 06119
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HARTFORD

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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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