JOHN B IRWIN
Physician/surgeon


Address: 21 Sarcka Lane, Litchfield, CT 06759

JOHN B IRWIN (Credential# 538854) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2012. The license expiration date date is November 30, 2013. The license status is INACTIVE.

Business Overview

JOHN B IRWIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007332. The credential type is physician/surgeon. The effective date is December 1, 2012. The expiration date is November 30, 2013. The business address is 21 Sarcka Lane, Litchfield, CT 06759. The current status is inactive.

Basic Information

Licensee Name JOHN B IRWIN
Credential ID 538854
Credential Number 1.007332
Credential Type Physician/Surgeon
Business Address 21 Sarcka Lane
Litchfield
CT 06759
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1953-10-29
Effective Date 2012-12-01
Expiration Date 2013-11-30
Refresh Date 2014-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
144886 CSP.0006672 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-11-01 - 1998-02-28 INACTIVE

Office Location

Street Address 21 SARCKA LANE
City LITCHFIELD
State CT
Zip Code 06759

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Debra A Majeske · Cooper 230 Blue Swamp Road, Litchfield, CT 06759 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
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Cassandra Leigh Ganio 93 Headquarters Road, Litchfield, CT 06759 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
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Competitor

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City LITCHFIELD
Zip Code 06759
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LITCHFIELD

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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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