DEAN N WILLIS
Physician/surgeon


Address: 279 N Bride Brook Rd, East Lyme, CT 06333-1463

DEAN N WILLIS (Credential# 544109) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

DEAN N WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022374. The credential type is physician/surgeon. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 279 N Bride Brook Rd, East Lyme, CT 06333-1463. The current status is active.

Basic Information

Licensee Name DEAN N WILLIS
Credential ID 544109
Credential Number 1.022374
Credential Type Physician/Surgeon
Business Address 279 N Bride Brook Rd
East Lyme
CT 06333-1463
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1980-09-05
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-07-29

Other licenses

ID Credential Code Credential Type Issue Term Status
150955 CSP.0009980 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 279 N BRIDE BROOK RD
City EAST LYME
State CT
Zip Code 06333-1463

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Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Peter J Famiglietti Md 339 Flanders Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
Beth A Stoddard 8 Greentree Drive, East Lyme, CT 06333 Registered Nurse 2020-07-01 ~ 2021-06-30
Scott's Yankee Farmer 291 N Bride Brook Rd, East Lyme, CT 06333 Apple Juice & Cider Manufacturer 2020-07-01 ~ 2021-06-30
Katherine E Whalen 339 Flanders Rd Ste 109, East Lyme, CT 06333 Physician/surgeon 2020-08-01 ~ 2021-07-31
May L Diep 88 Arbor Crossing, East Lyme, CT 06333 Nail Technician ~
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Competitor

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City EAST LYME
Zip Code 06333
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST LYME

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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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