DEAN A ROSE
Physician/surgeon


Address: 4160 Lucy Long Drive, Harrisburg, PA 22801

DEAN A ROSE (Credential# 551094) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 9, 1995. The license expiration date date is November 30, 1996. The license status is INACTIVE.

Business Overview

DEAN A ROSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033495. The credential type is physician/surgeon. The effective date is November 9, 1995. The expiration date is November 30, 1996. The business address is 4160 Lucy Long Drive, Harrisburg, PA 22801. The current status is inactive.

Basic Information

Licensee Name DEAN A ROSE
Credential ID 551094
Credential Number 1.033495
Credential Type Physician/Surgeon
Business Address 4160 Lucy Long Drive
Harrisburg
PA 22801
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-01-28
Effective Date 1995-11-09
Expiration Date 1996-11-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162684 CSP.0021868 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-04-06 - 1996-02-28 INACTIVE

Office Location

Street Address 4160 LUCY LONG DRIVE
City HARRISBURG
State PA
Zip Code 22801

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City HARRISBURG
Zip Code 22801
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HARRISBURG

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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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