REBECCA C PACE DO
Physician/surgeon


Address: 90a Leetes Island Rd, Branford, CT 06405

REBECCA C PACE DO (Credential# 563316) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 11, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.

Business Overview

REBECCA C PACE DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045734-DO. The credential type is physician/surgeon. The effective date is February 11, 2008. The expiration date is March 31, 2009. The business address is 90a Leetes Island Rd, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name REBECCA C PACE DO
Credential ID 563316
Credential Number 1.045734-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 90a Leetes Island Rd
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-08-06
Effective Date 2008-02-11
Expiration Date 2009-03-31
Refresh Date 2010-03-11

Other licenses

ID Credential Code Credential Type Issue Term Status
479641 CSP.0042370 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-10-01 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 90A LEETES ISLAND RD
City BRANFORD
State CT
Zip Code 06405

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Competitor

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City BRANFORD
Zip Code 06405
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRANFORD

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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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