NICHOLAS R SPINELLI MD
Physician/surgeon


Address: 103 Housatonic Dr, Devon, CT 06460

NICHOLAS R SPINELLI MD (Credential# 538567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 17, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

NICHOLAS R SPINELLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.005906. The credential type is physician/surgeon. The effective date is January 17, 2007. The expiration date is March 31, 2008. The business address is 103 Housatonic Dr, Devon, CT 06460. The current status is inactive.

Basic Information

Licensee Name NICHOLAS R SPINELLI MD
Credential ID 538567
Credential Number 1.005906
Credential Type Physician/Surgeon
Business Address 103 Housatonic Dr
Devon
CT 06460
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1948-05-28
Effective Date 2007-01-17
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
146565 CSP.0000936 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 103 HOUSATONIC DR
City DEVON
State CT
Zip Code 06460

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Robert J Colum 61 Melba St, Milford, CT 06460 Professional Engineer 2020-06-16 ~ 2021-01-31
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Competitor

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City DEVON
Zip Code 06460
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DEVON

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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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