DEAN N MARTIN
Physician/surgeon


Address: 4 Nutmeg Lane, Wilton, CT 06897

DEAN N MARTIN (Credential# 540907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2012. The license status is INACTIVE.

Business Overview

DEAN N MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013931. The credential type is physician/surgeon. The effective date is August 1, 2011. The expiration date is July 31, 2012. The business address is 4 Nutmeg Lane, Wilton, CT 06897. The current status is inactive.

Basic Information

Licensee Name DEAN N MARTIN
Credential ID 540907
Credential Number 1.013931
Credential Type Physician/Surgeon
Business Address 4 Nutmeg Lane
Wilton
CT 06897
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-06-23
Effective Date 2011-08-01
Expiration Date 2012-07-31
Refresh Date 2012-11-02

Other licenses

ID Credential Code Credential Type Issue Term Status
160121 CSP.0018426 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 4 Nutmeg Lane
City WILTON
State CT
Zip Code 06897

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nicole Adara Case 14 Middlebrook Farm Rd, Wilton, CT 06897 Emergency Medical Technician ~
C B Tart 105 Seeley Road, Wilton, CT 06897 Registered Nurse 2020-08-01 ~ 2021-07-31
Matthew P Schmitt 116 Borglum Rd, Wilton, CT 06897 Home Improvement Contractor 2020-06-18 ~ 2020-11-30
Music On The Hill Inc 48 New Canaan Road, Wilton, CT 06897 Public Charity 2020-12-01 ~ 2021-11-30
Neelam Narula 11 Glen Ridge, Wilton, CT 06897 Advanced Practice Registered Nurse 2020-09-01 ~ 2021-08-31
Katherine S Lewis 43 Antler Lane, Wilton, CT 06897 Registered Nurse 2020-08-01 ~ 2021-07-31
Steven Phillips 944 Danbury Rd, Wilton, CT 06897 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sally S Chao Md 48 Saint Johns Rd, Wilton, CT 06897 Physician/surgeon 2020-09-01 ~ 2021-08-31
Christine M Tenore 150 St Johns Road, Wilton, CT 06897 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Susan Lee 200 Danbury Road, Apt 5, Wilton, CT 06897 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
Find all Licenses in zip 06897

Competitor

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City WILTON
Zip Code 06897
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WILTON

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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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