WEI - SHIN LAI MD
Physician/surgeon


Address: High Ridge Family Practice, Stamford, CT 06905

WEI - SHIN LAI MD (Credential# 561079) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

WEI - SHIN LAI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043497. The credential type is physician/surgeon. The effective date is February 20, 2007. The expiration date is March 31, 2008. The business address is High Ridge Family Practice, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name WEI - SHIN LAI MD
Credential ID 561079
Credential Number 1.043497
Credential Type Physician/Surgeon
Business Address High Ridge Family Practice
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-06-07
Effective Date 2007-02-20
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
408889 CSP.0037709 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-06-28 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address HIGH RIDGE FAMILY PRACTICE
City STAMFORD
State CT
Zip Code 06905

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City STAMFORD
Zip Code 06905
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STAMFORD

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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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