TIMOTHY VIGNA DO
Physician/surgeon


Address: 404 Main Street, Watertown, CT 06795

TIMOTHY VIGNA DO (Credential# 538270) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2001. The license expiration date date is March 31, 2002. The license status is INACTIVE.

Business Overview

TIMOTHY VIGNA DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000538-DO. The credential type is physician/surgeon. The effective date is April 9, 2001. The expiration date is March 31, 2002. The business address is 404 Main Street, Watertown, CT 06795. The current status is inactive.

Basic Information

Licensee Name TIMOTHY VIGNA DO
Credential ID 538270
Credential Number 1.000538-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 404 Main Street
Watertown
CT 06795
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-23
Effective Date 2001-04-09
Expiration Date 2002-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
217677 CSP.0028700 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-04-09 - 2002-02-28 INACTIVE

Office Location

Street Address 404 MAIN STREET
City WATERTOWN
State CT
Zip Code 06795

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Competitor

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City WATERTOWN
Zip Code 06795
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WATERTOWN

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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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