RICHARD M DAUPHINAIS
Physician/surgeon


Address: 826 Groton Long Point Rd, Groton, CT 06340

RICHARD M DAUPHINAIS (Credential# 540281) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

RICHARD M DAUPHINAIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012269. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 826 Groton Long Point Rd, Groton, CT 06340. The current status is inactive.

Basic Information

Licensee Name RICHARD M DAUPHINAIS
Credential ID 540281
Credential Number 1.012269
Credential Type Physician/Surgeon
Business Address 826 Groton Long Point Rd
Groton
CT 06340
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1965-07-27
Effective Date 2012-10-01
Expiration Date 2013-09-30
Refresh Date 2014-01-02

Office Location

Street Address 826 Groton Long Point Rd
City Groton
State CT
Zip Code 06340

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Jennifer L Lundie 302b Meridian Street, Groton, CT 06340 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City Groton
Zip Code 06340
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Groton

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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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