L EDWIN SPROUL JR (Credential# 539967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 23, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.
L EDWIN SPROUL JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011327. The credential type is physician/surgeon. The effective date is February 23, 1998. The expiration date is April 30, 1999. The business address is Lawrence D Memorial, New London, CT 06320. The current status is inactive.
Licensee Name | L EDWIN SPROUL JR |
Credential ID | 539967 |
Credential Number | 1.011327 |
Credential Type | Physician/Surgeon |
Business Address |
Lawrence D Memorial New London CT 06320 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1963-05-22 |
Effective Date | 1998-02-23 |
Expiration Date | 1999-04-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
147027 | CSP.0000859 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | LAWRENCE D MEMORIAL |
City | NEW LONDON |
State | CT |
Zip Code | 06320 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric D Dobkin | 100 W Sproul Rd, Springfield, PA 19064-2033 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
Edwin Raffi | 339 Massachusetts Ave, Arlington, MA 02474-6718 | Physician/surgeon | ~ |
Edwin Oh | 241 Hamilton Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Edwin W Lojeski Do | 310 Dakota Rd, Hailey, ID 83333 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Edwin D Lacuanan | 3 Demartino Ave, Yonkers, NY 10703 | Physician/surgeon | 1996-08-05 ~ 1997-07-31 |
Edwin A Spath Jr | 859 Prospect Ave, W Hartford, CT 06105-4229 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
Edwin D Williamson Md | 88 Cottage St Apt 1, New Haven, CT 06511-2404 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Edwin V Tan | 720 West 170th St, New York, NY 10032 | Physician/surgeon | 1996-02-26 ~ 1997-02-28 |
Edwin H Dombrowski Md | Po Box 4201, Surf City, NC 28445 | Physician/surgeon | 1997-03-12 ~ 1998-04-30 |
Edwin Tower Layng | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).