ALAN JOHN BROADHEAD
Physician/surgeon


Address: Po Box 255, Jamestown, ND 58402-0255

ALAN JOHN BROADHEAD (Credential# 1205507) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 29, 1974. The license expiration date date is June 30, 1990. The license status is INACTIVE.

Business Overview

ALAN JOHN BROADHEAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016597. The credential type is physician/surgeon. The effective date is April 29, 1974. The expiration date is June 30, 1990. The business address is Po Box 255, Jamestown, ND 58402-0255. The current status is inactive.

Basic Information

Licensee Name ALAN JOHN BROADHEAD
Credential ID 1205507
Credential Number 1.016597
Credential Type Physician/Surgeon
Business Address Po Box 255
Jamestown
ND 58402-0255
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1974-04-29
Effective Date 1974-04-29
Expiration Date 1990-06-30
Refresh Date 2014-02-06

Office Location

Street Address PO BOX 255
City JAMESTOWN
State ND
Zip Code 58402-0255

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Rachel Leigh Loftis 814 Pineburr Rd, Jamestown, NC 27282 Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City JAMESTOWN
Zip Code 58402
License Type Physician/Surgeon
License Type + County Physician/Surgeon + JAMESTOWN

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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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