DONNA M POLK MD
Physician/surgeon


Address: 9 Long Hill Rd, North Yarmouth, ME 04097-6049

DONNA M POLK MD (Credential# 564218) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2017. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

DONNA M POLK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046636. The credential type is physician/surgeon. The effective date is November 1, 2017. The expiration date is October 31, 2018. The business address is 9 Long Hill Rd, North Yarmouth, ME 04097-6049. The current status is inactive.

Basic Information

Licensee Name DONNA M POLK MD
Credential ID 564218
Credential Number 1.046636
Credential Type Physician/Surgeon
Business Address 9 Long Hill Rd
North Yarmouth
ME 04097-6049
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-06-11
Effective Date 2017-11-01
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
506768 CSP.0043718 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-07-01 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 9 LONG HILL RD
City NORTH YARMOUTH
State ME
Zip Code 04097-6049

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kimberly H Powers 473 Gray Road, North Yarmouth, ME 04097 Professional Engineer 2020-02-01 ~ 2021-01-31
David A Price 75 Farms Edge Rd, N Yarmouth, ME 04097 Professional Engineer 2020-02-01 ~ 2021-01-31
Richard N Davee 15 Brookview Lane, North Yarmouth, ME 04097 Professional Engineer 2020-02-01 ~ 2021-01-31
Laraine E Derrig 357 Greely Rd Ext, North Yarmouth, ME 04097 Registered Nurse 2011-07-01 ~ 2012-06-30
Joseph G Paolino 554 Sligo Road, N Yarmouth, ME 04097 Heating, Piping & Cooling Limited Journeyperson 2009-10-06 ~ 2010-08-31
Michelle Labonte 62 Rayberry Drive, North Yarmouth, ME 04097 Registered Nurse 2009-12-01 ~ 2010-11-30
Sarah B Morrison 75 Cumberland Rd, N Yarmouth, ME 04097 Architect 1996-08-01 ~ 1997-07-31
Jacqueline B Vaniotis 172 Haskell Road, North Yarmouth, ME 04097 Registered Nurse 2008-11-17 ~ 2010-01-31
Janice P Weaver 246 Memorial Hwy, North Yarmouth, ME 04097 Registered Nurse 2000-09-27 ~ 2001-11-30
James W Shrum 186 New Gloucester Rd, North Yarmouth, ME 04097-6125 Registered Nurse 2017-11-01 ~ 2018-10-31
Find all Licenses in zip 04097

Competitor

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City NORTH YARMOUTH
Zip Code 04097
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORTH YARMOUTH

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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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