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RICKY WAYNE MCCULLOUGH

Overview

RICKY WAYNE MCCULLOUGH is a Connecticut INDIVIDUAL with a lincese. The license credential category is Physician/Surgeon. The current license status is INACTIVE. The registered address is 1768 Storrs Road, Storrs, CT, 06268.

Credential Information

Credential ID1501323
Credential Code1.060367
CategoryPhysician/Surgeon

License Information

License TypeINDIVIDUAL
License Number60367
StatusINACTIVE
Status ReasonLAPSED DUE TO NON-RENEWAL
License Issue Date2018-04-17
License Effective Date2020-11-01
License Expiration Date2021-10-31

Address

Address1768 Storrs Road
CityStorrs
StateCT
Zip Code06268
Country

Other Physician/Surgeon in this Location

NameTypeAddress
CRAIG D SWEENEY MDPhysician/SurgeonSTORRS, 06268, CT
FRANCIS SIRACUSAPhysician/Surgeonstorrs, 06268, CT
DANIEL D CARREROPhysician/SurgeonSTORRS, 062681815, CT
JAMES R. DORANPhysician/SurgeonSTORRS, 06268, CT
JOSEPH W KOZACHEKPhysician/SurgeonSTORRS, 06268, CT
LENORA B WILLIAMSPhysician/SurgeonSTORRS CENTER, STORRS, 06268, CT
NEIL MOYNIHAN MDPhysician/SurgeonSTORRS, 062682220, CT
ROBERT JENNETTEPhysician/SurgeonSTORRS MANSFIELD, 062682717, CT
JACQUELINE M RUSSELLPhysician/SurgeonSTORRS MANSFIELD, 062682215, CT
VANESSA ROSE GREENPhysician/SurgeonStorrs, 06268, CT
GREGORY L SHANGOLDPhysician/SurgeonSTORRS, 06268, CT
JUDE GERMAINEPhysician/SurgeonStorrs, 06268, CT
G LUCILLE RUCKER MDPhysician/SurgeonSTORRS, 06268, CT
JAMES J MCGENNISPhysician/SurgeonSTORRS, 06268, CT
BLAKE D PRESCOTTPhysician/SurgeonSTORRS, 06268, CT
JOHN W PATTERSONPhysician/SurgeonSTORRS, 06268, CT
MARGARETT PATTERSONPhysician/SurgeonSTORRS, 06268, CT
EDWARD P WANDERSEE MDPhysician/SurgeonSTORRS, 06268, CT
JOSEPH D MCLAUGHLINPhysician/SurgeonSTORRS, 06268, CT
MARVIN C EHRLICHPhysician/SurgeonSTORRS, 06268, CT
JOHN A DUERS MDPhysician/SurgeonSTORRS, 06268, CT
MICHAEL S SHORE MDPhysician/SurgeonSTORRS, 06268, CT
DOUGLAS M WHITTEMOREPhysician/SurgeonStorrs, 06268, CT
HERBERT W RIDYARD JRPhysician/SurgeonSTORRS MANSFIELD, 062682573, CT
BRUCE H DICKPhysician/SurgeonSTORRS, 06268, CT

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Dataset Information

The data displayed on this page is based on Connecticut State Licenses and Credentials Dataset. More information on the dataset is available here.

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