TIMOTHY M POUTRE
Physician/surgeon


Address: 300 South St #p-5, Rockville, CT 06066

TIMOTHY M POUTRE (Credential# 551159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 28, 1995. The license expiration date date is March 31, 1996. The license status is INACTIVE.

Business Overview

TIMOTHY M POUTRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033560. The credential type is physician/surgeon. The effective date is March 28, 1995. The expiration date is March 31, 1996. The business address is 300 South St #p-5, Rockville, CT 06066. The current status is inactive.

Basic Information

Licensee Name TIMOTHY M POUTRE
Credential ID 551159
Credential Number 1.033560
Credential Type Physician/Surgeon
Business Address 300 South St #p-5
Rockville
CT 06066
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-03-04
Effective Date 1995-03-28
Expiration Date 1996-03-31
Refresh Date 2009-07-08

Office Location

Street Address 300 SOUTH ST #P-5
City ROCKVILLE
State CT
Zip Code 06066

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Competitor

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City ROCKVILLE
Zip Code 06066
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ROCKVILLE

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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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