JOHN P NICHOLSON MD
Physician/surgeon


Address: 118 Clapboard Ridge Rd, Greenwich, CT 06830-3433

JOHN P NICHOLSON MD (Credential# 556276) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

JOHN P NICHOLSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038688. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 118 Clapboard Ridge Rd, Greenwich, CT 06830-3433. The current status is inactive.

Basic Information

Licensee Name JOHN P NICHOLSON MD
Credential ID 556276
Credential Number 1.038688
Credential Type Physician/Surgeon
Business Address 118 Clapboard Ridge Rd
Greenwich
CT 06830-3433
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-05-30
Effective Date 2015-02-01
Expiration Date 2016-01-31
Refresh Date 2016-05-05

Other licenses

ID Credential Code Credential Type Issue Term Status
498681 CSP.0043310 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-04-04 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 118 CLAPBOARD RIDGE RD
City GREENWICH
State CT
Zip Code 06830-3433

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Dandan Tu 24 Byfield Ln, Greenwich, CT 06830 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City GREENWICH
Zip Code 06830
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENWICH

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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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