WALLACE DUNCAN
Physician/surgeon


Address: 465 Buckland Hills, Manchester, CT 06050

WALLACE DUNCAN (Credential# 552339) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is July 31, 1996. The license status is INACTIVE.

Business Overview

WALLACE DUNCAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034743. The credential type is physician/surgeon. The expiration date is July 31, 1996. The business address is 465 Buckland Hills, Manchester, CT 06050. The current status is inactive.

Basic Information

Licensee Name WALLACE DUNCAN
Credential ID 552339
Credential Number 1.034743
Credential Type Physician/Surgeon
Business Address 465 Buckland Hills
Manchester
CT 06050
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-07-28
Expiration Date 1996-07-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
162043 CSP.0023537 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-08-16 - 1996-02-28 INACTIVE

Office Location

Street Address 465 BUCKLAND HILLS
City MANCHESTER
State CT
Zip Code 06050

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
William A Mullen 465 Buckland Hills, Manchester, CT 06040 Respiratory Care Practitioner 1999-05-24 ~ 2000-03-31
Karl Kalavantavanich 465 Buckland Hills, Manchester, CT 06040 Physician/surgeon 1998-09-21 ~ 1999-09-30
Gordon R Bell 465 Buckland Hills, Manchester, CT 06064 Registered Nurse ~ 1999-07-31
Rita L Jackson · Oan 465 Buckland Hills, Manchester, CT 06040 Registered Nurse ~ 1997-07-31
Julie A Mccullough 465 Buckland Hills, Manchester, CT 06040 Physician/surgeon 1995-02-07 ~ 1996-02-29
Shannon M Meredith 465 Buckland Hills, Manchester, CT 06040 Podiatrist 1993-11-15 ~ 1994-08-31
Christina N Doyon 465 Buckland Hills, Manchester, CT 06040 Hairdresser/cosmetician 1993-03-24 ~ 1994-01-31

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Competitor

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City MANCHESTER
Zip Code 06050
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MANCHESTER

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Bruce Duncan Perry 76 Hawthorne Ave, Hamden, CT 06517-1825 Physician/surgeon 1986-11-14 ~ 1988-05-31
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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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