TRICIA E HALL
Physician/surgeon


Address: 235 East River Drive, Unit# 1207, East Hartford, CT 06108

TRICIA E HALL (Credential# 1297842) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

TRICIA E HALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054551-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 235 East River Drive, Unit# 1207, East Hartford, CT 06108. The current status is active.

Basic Information

Licensee Name TRICIA E HALL
Credential ID 1297842
Credential Number 1.054551-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 235 East River Drive, Unit# 1207
East Hartford
CT 06108
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-08-18
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-03-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1167580 CSP.0054840 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-06-10 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 235 East River Drive, Unit# 1207
City East Hartford
State CT
Zip Code 06108

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Antonio J Matta 19 Fellows Lane, East Hartford, CT 06108 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City East Hartford
Zip Code 06108
License Type Physician/Surgeon
License Type + County Physician/Surgeon + East 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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