NEAL S. BLANK (Credential# 1041603) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 18, 1986. The license expiration date date is December 31, 1987. The license status is INACTIVE.
NEAL S. BLANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000216-DO. The credential type is physician/surgeon. The effective date is July 18, 1986. The expiration date is December 31, 1987. The business address is 19700 Greenside Ter, Gaithersburg, MD 20886-1919. The current status is inactive.
| Licensee Name | NEAL S. BLANK |
| Credential ID | 1041603 |
| Credential Number | 1.000216-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
19700 Greenside Ter Gaithersburg MD 20886-1919 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-07-18 |
| Effective Date | 1986-07-18 |
| Expiration Date | 1987-12-31 |
| Refresh Date | 2011-11-17 |
| Street Address | 19700 GREENSIDE TER |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20886-1919 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maricor D Dillera | 9204 Frostburg Way, Montgomery Village, MD 20886 | Physical Therapist | 2016-03-10 ~ 2018-03-31 |
| Paula P Gillette | 8205 Rainbowview Place, Montgomery Village, MD 20886 | Professional Engineer | 2004-02-01 ~ 2005-01-31 |
| Marie L Waldron | 24 Tindal Springs, Montgomery Village, MD 20886 | Registered Nurse | 2013-03-01 ~ 2014-02-28 |
| Yunyun Chang | 9856 Brookridge Court, Montgomery Village, MD 20886 | Certified Public Accountant License | 2011-01-01 ~ 2011-12-31 |
| Jennifer Shih | 19735 Greenside Terrace, Montgomery Village, MD 20886 | Registered Nurse | 2009-03-25 ~ 2009-12-31 |
| Alice G Spencer | 8333 Marketree Circ, Montgomery Village, MD 20886 | Registered Nurse | 2003-02-10 ~ 2004-03-31 |
| Barbara G Driver | 7710 Heritage Frm Dr, Gaithersburg, MD 20886 | Registered Nurse | 2003-03-13 ~ 2004-02-29 |
| Sarah B Ecclesia | 18600 Walkers Choice Road, Montgomery, MD 20886 | Registered Nurse | 2006-01-11 ~ 2006-07-31 |
| Kofi Francis Bawuah | 18907 Mills Choice Road; #1, Gaithersburg, MD 20886 | Pharmacist | ~ |
| Ephraim Mubiru | 9313 Willow Creek Dr Apt Q, Montgomery Village, MD 20886-0436 | Lottery Or Otb Service Provider Employee | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 20886 | |||
| City | GAITHERSBURG |
| Zip Code | 20886 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GAITHERSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wesley S Blank | 5 Little Kings Ln., Rye Brook, NY 10573 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samuel Blank | 73 Soundview Ave, Madison, CT 06443 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
| Sanford Blank | Po Box 387, Fishers Island, NY 06390 | Physician/surgeon | 2004-06-28 ~ 2005-06-30 |
| Peter B Blank Do | 150 N Finley Ave, Basking Ridge, NJ 07920 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Neal T Reich | 20 Shaw Ln, Irvington, NY 10533-1108 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Neal A Fischbach Md | 111 Beach Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Neal J Zimmerman | 133 Transylvania Rd, Woodbury, CT 06798 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Neal J Schamberg Md | 500 W Putnam Ave Ste 100, Greenwich, CT 06830-6079 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ying Wang | 169 Neal St., Portland, ME 04102 | Physician/surgeon | 2004-03-08 ~ 2005-02-28 |
| Neal F Epstein | 11 Thomas Lane, Scarsdale, NY 10583 | Physician/surgeon | 2004-08-26 ~ 2005-05-31 |
Please comment or provide details below to improve the information on NEAL S. BLANK.
| 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).