LAUREL E BLACKMAN (Credential# 1267229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LAUREL E BLACKMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054073-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3312 Glenview Ave, Austin, TX 78703-1447. The current status is active.
| Licensee Name | LAUREL E BLACKMAN |
| Credential ID | 1267229 |
| Credential Number | 1.054073-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
3312 Glenview Ave Austin TX 78703-1447 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1281628 | CSP.0059964 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1284247 | CSP.0060223 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-14 | 2015-05-14 - 2015-06-09 | INACTIVE |
| Street Address | 3312 GLENVIEW AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1447 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shattuck Labs, Inc. | 1018 W 11th Street, Austin, TX 78703 | Securities - Exemptions | 2020-02-19 ~ |
| Jennifer Lynn Vogt | 3400 Bonnie Rd, Austin, TX 78703 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Unbundled Capital Dl, LLC | 2716 Harris Boulevard, Austin, TX 78703 | Securities - Reg. D Exemptions | 2020-01-06 ~ |
| Davis Spirits Company | 2401 Spirits Company, Austin, TX 78703 | Out of State Shipper Liquor | 2019-08-16 ~ 2020-08-14 |
| Eric O'neill | 311 Bowie St, Austin, TX 78703 | Home Improvement Salesperson | 2018-12-01 ~ 2019-11-30 |
| Rebeeca Ann White | 300 N Lamar Blvd Apt 441, Austin, TX 78703 | Registered Nurse | 2017-10-25 ~ 2018-04-30 |
| National Association of Veteran Police Officers | 1114 West 7th. #2, Austin, TX 78703 | Public Charity | ~ |
| Thomas H Hatch | 702 San Antonio, Austin, TX 78703 | Architect | 2004-08-01 ~ 2005-07-31 |
| Joseph Guy Rollins IIi | 3313 Bryker Dr, Austin, TX 78703 | Architect | ~ |
| Soe Myint Aung | 10275 Little Patuxent Parkway, Columbia, MD 78703 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 78703 | |||
| City | AUSTIN |
| Zip Code | 78703 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + AUSTIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Ruth Blackman | 40 Arbor Way, East Greenwich, RI 02818 | Physician/surgeon | ~ |
| Gregory E Blackman | 756 Longmeadow St, Longmeadow, MA 01106 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Blackman Avenue | 3 Blackman Avenue, Bethel, CT 06801 | Community Living Arrangement | 2019-08-01 ~ 2021-07-31 |
| Shari P Blackman | 33 Laurel Street, Enfield, CT 06082 | Notary Public Appointment | 2016-06-21 ~ 2021-06-30 |
| Wayne E Blackman · William Raveis | 119 Laurel Hill Rd, Brookfield, CT 06804 | Real Estate Salesperson | 1997-06-01 ~ 1998-05-31 |
| Lindsey Orr | 16 Laurel Ave, Windsor, CT 06095 | Physician/surgeon | 2018-09-19 ~ 2019-06-30 |
| Durane K. Walker | 340 Laurel St, Lee, MA 01238-9509 | Physician/surgeon | 2013-06-03 ~ 2014-06-30 |
| Frank Sparks Md | 685 Laurel Rd, New Canaan, CT 06840 | Physician/surgeon | 2006-07-19 ~ 2007-08-31 |
| Christopher T Erb | 40 Laurel Road, New Haven, CT 06515 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Eldad U Einav | 25 Laurel Ave, Binghamton, NY 13905 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Please comment or provide details below to improve the information on LAUREL E BLACKMAN.
| 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).