DENA CW ROSS MD
Physician/surgeon


Address: 23 Fallon Rd, Pawcatuck, CT 06379-2443

DENA CW ROSS MD (Credential# 560160) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

DENA CW ROSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042578. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 23 Fallon Rd, Pawcatuck, CT 06379-2443. The current status is inactive.

Basic Information

Licensee Name DENA CW ROSS MD
Credential ID 560160
Credential Number 1.042578
Credential Type Physician/Surgeon
Business Address 23 Fallon Rd
Pawcatuck
CT 06379-2443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-25
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2013-08-05

Other licenses

ID Credential Code Credential Type Issue Term Status
458246 CSP.0040959 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-01-26 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 23 FALLON RD
City PAWCATUCK
State CT
Zip Code 06379-2443

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Vinessa Job 45 Aimee Dr, Pawcatuck, CT 06379 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Rosanne M Giuliano 25 Davis Avenue, Pawcatuck, CT 06379 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Kathleen Lettich 15 Canterbury Lane, Stonington, CT 06379 Behavior Analyst ~
Deanna L. Boileau-gilman 37 William Street, Pawcatuck, CT 06379 Massage Therapist 2020-08-01 ~ 2022-07-31
Stuart A Lamb 40 Lester Ave., Pawcatuck, CT 06379 Optician 2020-09-01 ~ 2021-08-31
Lisa S Dittman · Boyd 302 N Anguilla Rd, Pawcatuck, CT 06379 Physical Therapist 2020-07-01 ~ 2021-06-30
Naomi Gobeille 2 North Broad Street, Pawcatuck, CT 06379 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Sherrie L Theroux 7 Pond View Ct, Pawcatuck, CT 06379 Registered Nurse 2020-08-01 ~ 2021-07-31
Robin R Dana 17 Wilcox Manor, Pawcatuck, CT 06379 Professional Counselor 2020-09-01 ~ 2021-08-31
Sharon Marquis 20 West Enterprise, Pawcatuck, CT 06379 Hairdresser/cosmetician 2020-08-01 ~ 2022-07-31
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Competitor

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City PAWCATUCK
Zip Code 06379
License Type Physician/Surgeon
License Type + County Physician/Surgeon + PAWCATUCK

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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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