JACK L BALDASAR
Physician/surgeon


Address: 220 Oxford Dr, Tenafly, NJ 07670-3118

JACK L BALDASAR (Credential# 1033474) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.

Business Overview

JACK L BALDASAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051270. The credential type is physician/surgeon. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 220 Oxford Dr, Tenafly, NJ 07670-3118. The current status is inactive.

Basic Information

Licensee Name JACK L BALDASAR
Credential ID 1033474
Credential Number 1.051270
Credential Type Physician/Surgeon
Business Address 220 Oxford Dr
Tenafly
NJ 07670-3118
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-01
Effective Date 2015-09-01
Expiration Date 2016-08-31
Refresh Date 2016-12-04

Office Location

Street Address 220 OXFORD DR
City TENAFLY
State NJ
Zip Code 07670-3118

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
John M Galant 285 County Road, Tenafly, NJ 07670 Podiatrist 2020-07-01 ~ 2021-06-30
Ilnaz Salehi 118 Highwood Ave, Tenafly, NJ 07670 Physician/surgeon 2020-04-01 ~ 2021-03-31
John D Purdy 11 Creston Ave, Tenafly, NJ 07670 Professional Engineer 2020-02-01 ~ 2021-01-31
Jay Lawrence Friedman Tenafly Psychiatric Associates, L.L.C., Tenafly, NJ 07670 Physician/surgeon 2019-11-01 ~ 2020-10-31
Angela Lee 83a Grove St., Tenafly, NJ 07670 Emergency Medical Technician ~
Patricia Johnson Aprn 11 Colonial Rd, Tenafly, NJ 07670 Registered Nurse 2018-01-01 ~ 2018-12-31
Claudia L. Cruz 103 Lylewood. Drive, Tenafly, NJ 07670 Dentist ~
Bokki Lee 31 Standish Court, Tenafly, NJ 07670 Hairdresser/cosmetician 2018-07-01 ~ 2020-06-30
Fay W Logan 136 Westervelt Ave, Tenafly, NJ 07670 Architect 2015-08-01 ~ 2016-07-31
Institute for Career Readiness and Achievement, Inc. · Ifcra Pob 576, Tenafly, NJ 07670 Public Charity-exempt From Financial Requirements 2015-03-23 ~
Find all Licenses in zip 07670

Competitor

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City TENAFLY
Zip Code 07670
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TENAFLY

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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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