THEODORE J DEGROOT (Credential# 541068) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 28, 1996. The license expiration date date is December 31, 1997. The license status is INACTIVE.
THEODORE J DEGROOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014352. The credential type is physician/surgeon. The effective date is October 28, 1996. The expiration date is December 31, 1997. The business address is 53 Lafayette St, Norwich, CT 06360. The current status is inactive.
| Licensee Name | THEODORE J DEGROOT |
| Credential ID | 541068 |
| Credential Number | 1.014352 |
| Credential Type | Physician/Surgeon |
| Business Address |
53 Lafayette St Norwich CT 06360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1970-03-13 |
| Effective Date | 1996-10-28 |
| Expiration Date | 1997-12-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153284 | CSP.0009752 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-03-01 - 1997-02-28 | INACTIVE |
| Street Address | 53 LAFAYETTE ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Helar E Campos | 9 Abel Crossing, Norwich, CT 06360 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yanbo Dong | 624 West Main St Ste1, Norwich, CT 06360 | Esthetician | ~ |
| Jing An Jin | 624 West Main St Suite 160, Norwich, CT 06360 | Nail Technician | ~ |
| Deborah Moya | 9 3rd St, Norwich, CT 06360 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Argyro Donuts LLC | 60 Town Street, Norwich, CT 06360 | Bakery | 2019-08-12 ~ 2020-06-30 |
| Paige Elizabeth Signorella | 532 Boswell Avenue, Norwich, CT 06360 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-09-30 |
| Bethany Catherine Chinigo | 19m 495 Laurel Hill Rd, Norwich, CT 06360 | Hairdresser/cosmetician | ~ |
| American Friends of Kenya Inc. | 150 Yantic Street, #142, Norwich, CT 06360 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Caylee Elizabeth Liebig | 10 Bozrah Drive, Norwich, CT 06360 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brendan Williams | 18 Stonington Rd, Norwich, CT 06360 | Electrical Unlimited Journeyperson | 2020-06-22 ~ 2020-09-30 |
| Find all Licenses in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne S Degroot | 292 Morris Avenue, Providence, RI 02906 | Physician/surgeon | 2005-12-13 ~ 2006-11-30 |
| Theodore Nowakiwskys | CT | Physician/surgeon | ~ |
| Theodore D Fishman Md | 670 Prospect Ave, Hartford, CT 06105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Theodore H Schettler | 124 Peterborough St, Boston, MA 02215 | Physician/surgeon | 1996-07-22 ~ 1997-07-31 |
| Theodore Maron | 7 Wildwood Med Ctr, Essex, CT 06426 | Physician/surgeon | 2006-01-26 ~ 2007-03-31 |
| Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Theodore Johnson | 310 Seabury Dr, Bloomfield, CT 06002-2657 | Physician/surgeon | 2017-07-01 ~ 2018-06-30 |
| Theodore A. Monitz | 285 Boulevard Ne, Atlanta, GA 30312-4205 | Physician/surgeon | 1984-04-26 ~ 1989-04-30 |
| Theodore Rubin | 175 East 62 St, New York, NY 10021 | Physician/surgeon | 2009-03-05 ~ 2010-04-30 |
| Theodore Lidz | 60 Orchard Rd, Woodbridge, CT 06525 | Physician/surgeon | 1995-02-07 ~ 1996-04-30 |
Please comment or provide details below to improve the information on THEODORE J DEGROOT.
| 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).