E MAURCIE WAKEMAN MD
Physician/surgeon


Address: 152 Broad St, Guilford, CT 06437

E MAURCIE WAKEMAN MD (Credential# 539678) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 27, 1996. The license expiration date date is March 31, 1997. The license status is INACTIVE.

Business Overview

E MAURCIE WAKEMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010376. The credential type is physician/surgeon. The effective date is March 27, 1996. The expiration date is March 31, 1997. The business address is 152 Broad St, Guilford, CT 06437. The current status is inactive.

Basic Information

Licensee Name E MAURCIE WAKEMAN MD
Credential ID 539678
Credential Number 1.010376
Credential Type Physician/Surgeon
Business Address 152 Broad St
Guilford
CT 06437
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1961-08-07
Effective Date 1996-03-27
Expiration Date 1997-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
153020 CSP.0002659 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 152 BROAD ST
City GUILFORD
State CT
Zip Code 06437

Licenses in the same location

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Nancy Czarkowski Md 152 Broad St, Guilford, CT 06437 Physician/surgeon 2020-04-01 ~ 2021-03-31
Ann Hoefer Md 152 Broad St, Guilford, CT 06437 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
William K Stableford 152 Broad St, Guilford, CT 06437 Psychologist 2019-03-01 ~ 2020-02-29

Licenses in the same zip code

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Jane E Olsen Po Box 601, Guilford, CT 06437 Real Estate Salesperson 2020-06-27 ~ 2021-05-31
Alanna Munzenmaier 81 Saw Mill Rd, Guilford, CT 06437 Veterinarian 2020-07-01 ~ 2021-06-30
Sandra L Lion 84 Granite Road, Guilford, CT 06437 Notary Public Appointment 2020-08-01 ~ 2025-07-31
Nimet H Memik-moavero 110 Cherry Street, Guilford, CT 06437 Real Estate Salesperson ~
Jacklyn Nicole Basilicato 345 Saw Mill Road, Guilford, CT 06437 Registered Nurse 2020-07-01 ~ 2021-06-30
Alissa Bailey 5 Streamview Circle, Guilford, CT 06437 Notary Public Appointment 2020-09-01 ~ 2025-08-31
The Marketplace Emporia LLC · The Marketplace Emporia, LLC 77-79 Whitfield Street, Guilford, CT 06437 Bakery 2020-07-01 ~ 2021-06-30
Deborah Ackles 46clear Lake Manor Road, Guilford, CT 06437 Veterinarian 2020-08-01 ~ 2021-07-31
Bruce D Mccann 200 State St, Guilford, CT 06437 Architect 2020-08-01 ~ 2021-07-31
Stephanie J Jacobs 130 Winthrop Rd, Guilford, CT 06437 Real Estate Salesperson 2020-06-25 ~ 2021-05-31
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Competitor

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City GUILFORD
Zip Code 06437
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GUILFORD

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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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