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.
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.
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 |
Street Address | 220 OXFORD DR |
City | TENAFLY |
State | NJ |
Zip Code | 07670-3118 |
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 |
City | TENAFLY |
Zip Code | 07670 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TENAFLY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jack F Wilder | 363 Shore Rd, Greenwich, CT 06830 | Physician/surgeon | 1998-01-30 ~ 1999-01-31 |
Jack M Charney | Cblpath, Inc., Rye Brook, NY 10573 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jack F Perrone | 586 23rd Ave Sw, Rochester, MN 55902-0965 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Jack W Snyder Md | 104 Hilary Cir, Fairfield, CT 06432 | Physician/surgeon | 2003-08-04 ~ 2004-07-31 |
Jack J Forest Md | 111 Harbor Rd, Westport, CT 06880 | Physician/surgeon | 2006-05-23 ~ 2007-04-30 |
Jack Zweig | 145 Vaneck Dr., New Rochelle, NY 10804 | Physician/surgeon | 1967-09-18 ~ 1982-06-30 |
Jack M Dodick | 535 Park Ave, New York, NY 10021 | Physician/surgeon | 2018-04-26 ~ 2019-03-31 |
Jack H Pincus | Pca Century, Tampa, FL 33607 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
Jack Hajjar Md | 169 South Rd, Farmington, CT 06032 | Physician/surgeon | 2001-05-08 ~ 2002-06-30 |
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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).