RONALD S GREEN
Physician/surgeon


Address: 142 Deer Run, Burlington, CT 06013-1828

RONALD S GREEN (Credential# 542341) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.

Business Overview

RONALD S GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017324. The credential type is physician/surgeon. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 142 Deer Run, Burlington, CT 06013-1828. The current status is inactive.

Basic Information

Licensee Name RONALD S GREEN
Credential ID 542341
Credential Number 1.017324
Credential Type Physician/Surgeon
Business Address 142 Deer Run
Burlington
CT 06013-1828
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1975-10-03
Effective Date 2015-09-01
Expiration Date 2016-08-31
Refresh Date 2016-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
153653 CSP.0008575 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 142 DEER RUN
City BURLINGTON
State CT
Zip Code 06013-1828

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Ryan J Prusaczyk 182 Deer Run, Burlington, CT 06013-1828 Electrical Unlimited Contractor 2015-10-01 ~ 2016-09-30

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Competitor

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City BURLINGTON
Zip Code 06013
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BURLINGTON

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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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