TERRY D RYAN MD (Credential# 546771) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.
TERRY D RYAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027773. The credential type is physician/surgeon. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is 11 West Lane, Niantic, CT 06357. The current status is inactive.
| Licensee Name | TERRY D RYAN MD |
| Credential ID | 546771 |
| Credential Number | 1.027773 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 West Lane Niantic CT 06357 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-11-06 |
| Effective Date | 2015-12-01 |
| Expiration Date | 2016-11-30 |
| Refresh Date | 2017-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 199426 | CSP.0027053 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 11 WEST LANE |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| S. Ryan Greysen · Scott Ryan Gregory | 94 Bishop St, New Haven, CT 06511 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
| Terry L Levin | 714 Forest Ave, Mamaroneck, NY 10543-4415 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lewis N Terry Jr | 200 Patewood Dr, Greenville, SC 29615-3593 | Physician/surgeon | 1965-08-13 ~ |
| Bryan Albert Terry | C/o 20 York St, New Haven, CT 06510 | Physician/surgeon | ~ |
| Terry F Reardon | 512 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Terry K Schultz | 1552 Whitney Ave, Hamden, CT 06517 | Physician/surgeon | 1972-07-27 ~ 1973-11-30 |
| Kimberly D Terry | 7 Park Mountain, San Antonio, TX 78255 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Richard N Sabinsky | 60 Terry Road Plaza, Smithtown, NY 11787 | Physician/surgeon | 1996-02-01 ~ 1996-12-31 |
| Terry L Koch Md | 1055 Washington Blvd Ste 440, Stamford, CT 06901-2218 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Marc Goldman | 2121 Terry Ave Apt 1801, Seattle, WA 98121-2735 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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| 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).