RUTH D BLUM (Credential# 1281623) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RUTH D BLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059961. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 235 Townhouse, Hershey, PA 17033-2324. The current status is active.
| Licensee Name | RUTH D BLUM |
| Credential ID | 1281623 |
| Credential Number | CSP.0059961 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
235 Townhouse Hershey PA 17033-2324 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488358 | 1.057753-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 235 TOWNHOUSE |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2324 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William L Hennrikus | 75 Laurel Ridge Rd, Hershey, PA 17033 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kimberly Maloney | 1428 East Chocolate Ave. Apt. 1, Hershey, PA 17033 | Pharmacy Technician | 2009-04-01 ~ 2010-03-31 |
| Fred S Faber Jr · Buchard-horn Inc | 75 Brownstone Dr, Hershey, PA 17033 | Professional Engineer | 1992-01-06 ~ 1993-01-31 |
| Steven J Seidl | 152 Elm Avenue, Hershey, PA 17033 | Water Treatment Plant Operator - Class Iv | 2005-08-11 ~ 2008-06-30 |
| Jan A Rybka | 10 Deer Run Rd, Hershey, PA 17033 | Engineer-in-training | 2001-11-13 ~ 2011-11-13 |
| Museum of Bus Transportation | 161 Museum Drive, Hershey, PA 17033 | Public Charity | 2006-06-19 ~ 2007-05-31 |
| Donna D Kelly | 272 Townhouse, Hershey, PA 17033 | Registered Nurse | 1992-07-23 ~ 1993-06-30 |
| Bassem O Abraham | 725 Ferris Way, Hershey, PA 17033 | Physician/surgeon | 2006-02-23 ~ 2007-02-28 |
| Susan E Mann-smith | 1795 Aberdoney Road, Hershey, PA 17033 | Occupational Therapist | 1995-05-23 ~ 1997-07-31 |
| Tom F Novacheck | 2240 Sand Hill Road, Hershey, PA 17033 | Physician/surgeon | 1990-04-20 ~ 1992-03-31 |
| Find all Licenses in zip 17033 | |||
| City | HERSHEY |
| Zip Code | 17033 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HERSHEY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan W Blum | 300 George St Ste 901, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Asher B Blum | 163 Viscount Dr, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theodore J Blum Md | 5 School St, Bethel, CT 06801 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David J Blum | 61 Hampden Ln, Irvington, NY 10533-2424 | Controlled Substance Registration for Practitioner | 2019-10-02 ~ 2021-02-28 |
| Eliot H Blum | 611 Whitney Ave Apt 2a, New Haven, CT 06511-2283 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jennifer E Blum | 157 Brewster Rd, West Hartford, CT 06117-2102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joy E Byrne | 8 Ruth St, Trumbull, CT 06611-3730 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruth Wangondu | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruth G King Md | Po Box 202, Gwynedd Valley, PA 19437-0202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruth A Zamora | 1 Evergreen Trl, Farmington, CT 06032-2142 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on RUTH D BLUM.
| 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).