DOROTHY O LEWIS MD
Physician/surgeon


Address: 10 Saint Ronan Ter, New Haven, CT 06511-2315

DOROTHY O LEWIS MD (Credential# 540300) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

DOROTHY O LEWIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012319. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 10 Saint Ronan Ter, New Haven, CT 06511-2315. The current status is active.

Basic Information

Licensee Name DOROTHY O LEWIS MD
Credential ID 540300
Credential Number 1.012319
Credential Type Physician/Surgeon
Business Address 10 Saint Ronan Ter
New Haven
CT 06511-2315
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1965-09-21
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-14

Other licenses

ID Credential Code Credential Type Issue Term Status
146577 CSP.0001524 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 10 SAINT RONAN TER
City NEW HAVEN
State CT
Zip Code 06511-2315

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Montessori School On Edgewood Inc. 230 Edgewood Avenue, New Haven, CT 06511 Public Charity 2019-06-01 ~ 2020-05-31
Therese Parks · Visel Drug Store 264 Munson St, New Haven, CT 06511 Registered Nurse 2020-07-01 ~ 2021-06-30
Dazjia Monet Green 115 Edgewood Ave Apt 64, New Haven, CT 06511 Registered Nurse 2020-06-27 ~ 2021-05-31
Carol Yam 343 Humphrey St, New Haven, CT 06511 Registered Nurse ~
Marwan S Haddad 38 Lincoln Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Mary Lou Gaeta Md 558 Chapel Street, New Haven, CT 06511 Physician/surgeon 2020-07-01 ~ 2021-06-30
Cary M Tucker 64 Bishop St, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Frank J Pannenborg 505 Ellsworth Ave, New Haven, CT 06511 Architect 2020-08-01 ~ 2021-07-31
Crystal E Gooding 26 Woodland Street, New Haven, CT 06511 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Kieran Jones 260 Crown St Unit 1f, New Haven, CT 06511 Registered Nurse ~
Find all Licenses in zip 06511

Competitor

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City NEW HAVEN
Zip Code 06511
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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