EDWARD B O'CONNELL
Physician/surgeon


Address: 12 Kenter Place, New Haven, CT 06515

EDWARD B O'CONNELL (Credential# 538612) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 5, 1996. The license expiration date date is March 31, 1997. The license status is INACTIVE.

Business Overview

EDWARD B O'CONNELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006135. The credential type is physician/surgeon. The effective date is January 5, 1996. The expiration date is March 31, 1997. The business address is 12 Kenter Place, New Haven, CT 06515. The current status is inactive.

Basic Information

Licensee Name EDWARD B O'CONNELL
Credential ID 538612
Credential Number 1.006135
Credential Type Physician/Surgeon
Business Address 12 Kenter Place
New Haven
CT 06515
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1949-04-20
Effective Date 1996-01-05
Expiration Date 1997-03-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
144436 CSP.0006794 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-11-08 - 1997-02-28 INACTIVE

Office Location

Street Address 12 KENTER PLACE
City NEW HAVEN
State CT
Zip Code 06515

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Competitor

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City NEW HAVEN
Zip Code 06515
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW HAVEN

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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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