REBECCA BOXER MD
Physician/surgeon


Address: Uconn Ctr On Aging, Farmington, CT 06030

REBECCA BOXER MD (Credential# 558105) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 18, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.

Business Overview

REBECCA BOXER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040522. The credential type is physician/surgeon. The effective date is February 18, 2004. The expiration date is March 31, 2005. The business address is Uconn Ctr On Aging, Farmington, CT 06030. The current status is inactive.

Basic Information

Licensee Name REBECCA BOXER MD
Credential ID 558105
Credential Number 1.040522
Credential Type Physician/Surgeon
Business Address Uconn Ctr On Aging
Farmington
CT 06030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-06-06
Effective Date 2004-02-18
Expiration Date 2005-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
369409 CSP.0034871 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-05-19 2004-05-19 - 2005-02-28 INACTIVE
327274 CSP.0032981 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-11-25 - 2003-02-28 INACTIVE

Office Location

Street Address UCONN CTR ON AGING
City FARMINGTON
State CT
Zip Code 06030

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shobhana Pathani Department of Medicine, 263 Farmington Ave, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
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Competitor

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City FARMINGTON
Zip Code 06030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FARMINGTON

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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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