BENJAMIN RICHARD JACOBS
Physician/surgeon


Address: CT

BENJAMIN RICHARD JACOBS (Credential# 1223422) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is March 31, 1992. The license status is INACTIVE.

Business Overview

BENJAMIN RICHARD JACOBS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029178. The credential type is physician/surgeon. The expiration date is March 31, 1992. The business address is CT. The current status is inactive.

Basic Information

Licensee Name BENJAMIN RICHARD JACOBS
Credential ID 1223422
Credential Number 1.029178
Credential Type Physician/Surgeon
Business Address CT
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-07-01
Expiration Date 1992-03-31
Refresh Date 2014-05-19

Office Location

State CT

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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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