STANLEY LYNDON
Resident Physician


Address: 60 Fenwood Rd #9016k, Boston, MA 02116

STANLEY LYNDON (Credential# 1519771) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

STANLEY LYNDON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061282-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 60 Fenwood Rd #9016k, Boston, MA 02116. The current status is active.

Basic Information

Licensee Name STANLEY LYNDON
Credential ID 1519771
Credential Number 1.061282-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 60 Fenwood Rd #9016k
Boston
MA 02116
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1395775 1.056328 Physician/Surgeon 2017-04-03 2020-05-01 - 2021-04-30 ACTIVE
1435164 CSP.0066128 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-04 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 60 Fenwood Rd #9016K
City Boston
State MA
Zip Code 02116

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Competitor

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City Boston
Zip Code 02116
License Type Resident Physician
License Type + County Resident Physician + Boston

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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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