ROBERT J ALLEN SR
Physician/surgeon


Address: 43 Cogswell Lane, Stamford, CT 06902

ROBERT J ALLEN SR (Credential# 543128) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.

Business Overview

ROBERT J ALLEN SR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019659. The credential type is physician/surgeon. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 43 Cogswell Lane, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name ROBERT J ALLEN SR
Credential ID 543128
Credential Number 1.019659
Credential Type Physician/Surgeon
Business Address 43 Cogswell Lane
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-01-17
Effective Date 2017-10-01
Expiration Date 2018-09-30
Refresh Date 2019-01-03

Other licenses

ID Credential Code Credential Type Issue Term Status
152844 CSP.0008287 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-03-01 - 2006-02-28 INACTIVE
1379439 1 Physician/Surgeon - PENDING

Office Location

Street Address 43 Cogswell Lane
City STAMFORD
State CT
Zip Code 06902

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Margaret A Dorrance 24c Hamilton Court, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Carolyn Maguire 48 Nelson St, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Evelyne Joassin 17 George St., Stamford, CT 06902 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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