DANIEL G FISHER
CONNECTICUT CHILDRENS MEDICAL CTR


Address: 89 Wickham Road, Glastonbury, CT 06033

DANIEL G FISHER (Credential# 549330) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

DANIEL G FISHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031612. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 89 Wickham Road, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name DANIEL G FISHER
Business Name CONNECTICUT CHILDRENS MEDICAL CTR
Credential ID 549330
Credential Number 1.031612
Credential Type Physician/Surgeon
Business Address 89 Wickham Road
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1991-06-07
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-07

Other licenses

ID Credential Code Credential Type Issue Term Status
159707 CSP.0019300 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 89 Wickham Road
City Glastonbury
State CT
Zip Code 06033

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Glastonbury
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Glastonbury

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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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