WAYNE K SCALI
Physician/surgeon


Address: 368 C Tulibee Dr, Groton, CT 06349

WAYNE K SCALI (Credential# 1160859) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 14, 1987. The license expiration date date is August 31, 1990. The license status is INACTIVE.

Business Overview

WAYNE K SCALI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000240-DO. The credential type is physician/surgeon. The effective date is August 14, 1987. The expiration date is August 31, 1990. The business address is 368 C Tulibee Dr, Groton, CT 06349. The current status is inactive.

Basic Information

Licensee Name WAYNE K SCALI
Credential ID 1160859
Credential Number 1.000240-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 368 C Tulibee Dr
Groton
CT 06349
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-08-14
Effective Date 1987-08-14
Expiration Date 1990-08-31
Refresh Date 2013-04-29

Office Location

Street Address 368 C TULIBEE DR
City GROTON
State CT
Zip Code 06349

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City GROTON
Zip Code 06349
License Type Physician/Surgeon
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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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