SHANE T RIDGE DO Physician/Surgeon

Address:
Mshpc, Westbrook, CT 06498

SHANE T RIDGE DO (Credential# 563009) is Physician/Surgeon licensed with Connecticut Department of Consumer Protection. The license expiration date is 2018-12-31.

Business Overview

Name SHANE T RIDGE DO
Credential ID 563009
Credential Code 1.045427-DO
Credential Physician/Surgeon
Credential Sub-Category DO
Address Mshpc
Westbrook
CT 06498
Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2007-05-23
Effective Date 2018-01-01
Expiration Date 2018-12-31
Refresh Date 2017-11-25

Other licenses

ID Credential Code Credential Type Term Status
450689 CSP.0040656 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-01 - 2019-02-28 ACTIVE

Office Location

Street Address MSHPC
City Westbrook
State CT
Zip Code 06498

Entities with the same location

Name Office Address Expiration Date
SHANE T RIDGE DO Mshpc, Westbrook, CT 06498 2019-02-28

Competitor

Search similar business entities

City Westbrook
Zip Code 06498
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Westbrook

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).