DALE M INTIHAR (Credential# 543200) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 22, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.
DALE M INTIHAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019986. The credential type is physician/surgeon. The effective date is April 22, 2003. The expiration date is April 30, 2004. The business address is Greater Waterbury Primary Care Associates, Prospect, CT 06712. The current status is inactive.
| Licensee Name | DALE M INTIHAR |
| Credential ID | 543200 |
| Credential Number | 1.019986 |
| Credential Type | Physician/Surgeon |
| Business Address |
Greater Waterbury Primary Care Associates Prospect CT 06712 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1978-01-05 |
| Effective Date | 2003-04-22 |
| Expiration Date | 2004-04-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156559 | CSP.0014681 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | Greater Waterbury Primary Care Associates |
| City | Prospect |
| State | CT |
| Zip Code | 06712 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | Prospect |
| Zip Code | 06712 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Prospect |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles R Hamilton Jr | 91 Dale Rd, Manchester, CT 06040 | Physician/surgeon | 2001-05-25 ~ 2002-06-30 |
| Dale L Sotherland Md | 76 High St Ste 300, Lewiston, ME 04240-7591 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
| Roger S Beck | 305 Dale Rd, Wethersfield, CT 06109 | Physician/surgeon | 2002-08-26 ~ 2003-10-31 |
| Harald K Dale Md | 38 Driftwood Ln, Trumbull, CT 06611-1861 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Brian E Michael | 34 Dale Rd, Avon, CT 06001 | Physician/surgeon | 2003-05-12 ~ 2004-06-30 |
| Kenneth Perks Md | 34 Dale Rd Ste 205, Avon, CT 06001-3659 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dale Alan Matthews | 18 Petemont Dr, Farmington, CT 06032-2417 | Physician/surgeon | 1983-05-02 ~ 1992-01-31 |
| Walter S Bousa | 58 Holly Dale Rd, Fairfield, CT 06430 | Physician/surgeon | 2003-10-03 ~ 2004-10-31 |
| Linda A Preysner | 40 Dale Road, Avon, CT 06001 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Dale D Sebastian | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on DALE M INTIHAR.
| 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).