JACOB ROBERT BLEDSOE (Credential# 1633163) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JACOB ROBERT BLEDSOE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062674. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1 Innovation Drive, Biotech 3 Bldg., Room 230, Worcester, MA 01605. The current status is active.
| Licensee Name | JACOB ROBERT BLEDSOE |
| Credential ID | 1633163 |
| Credential Number | 1.062674 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Innovation Drive, Biotech 3 Bldg., Room 230 Worcester MA 01605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-24 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-31 |
| Street Address | 1 Innovation Drive, Biotech 3 Bldg., Room 230 |
| City | Worcester |
| State | MA |
| Zip Code | 01605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gertrude Mensah | 3 Henry Terrace, Worcester, MA 01605 | Licensed Practical Nurse | ~ |
| Azadeh Emam | 509 Plantation St Apt 412, Worcester, MA 01605 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Barbera Associates Real Estate LLC | 451 Grove St, Worcester, MA 01605 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Michael R Barbera | 2 Terrance Dr, Worcester, MA 01605 | Real Estate Broker | ~ |
| Mark S Distefano | 292 Lincoln Street, Worcester, MA 01605 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Supriya K. Atianand | 16 Cadorna Road, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Pankaj A. Ksheersagar Md | 119 Belmont Street, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Golden Group Construction Corp. | 20 Tattan Farm Road, Worcester, MA 01605 | Home Improvement Contractor | 2015-05-22 ~ 2015-11-30 |
| Scott C Boulette | 112 Paine St, Worcester, MA 01605 | Repairer of Weighing & Measuring Devices | 1996-01-01 ~ 1996-12-31 |
| Find all Licenses in zip 01605 | |||
| City | Worcester |
| Zip Code | 01605 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Worcester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob Hen Jr | 745 Stratfield Rd, Fairfield, CT 06825-1650 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob H Schoeneck | 90b Howe St, New Haven, CT 06511-4607 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Jacob T Chachkes | 110 South Ave, New Canaan, CT 06840 | Physician/surgeon | 2001-02-27 ~ 2002-05-21 |
| Shalini M Jacob | Apt 69d Fairway Dr, Wethersfield, CT 06109 | Physician/surgeon | 1998-05-18 ~ 1999-05-31 |
| Jacob H Lubchansky | 27 Broad St, New London, CT 06320 | Physician/surgeon | 1981-01-01 ~ 1981-03-31 |
| Katherine Jacob | 915 W Exchange Pkwy Ste 160, Allen, TX 75013-7019 | Physician/surgeon | ~ |
| Jacob E Finkelstein | 33 Cedar Street, Rye, NY 10580 | Physician/surgeon | 2000-11-13 ~ 2001-12-31 |
| Jacob S Kriteman | 83 Herrick St, Beverly, MA 01915 | Physician/surgeon | 2002-11-04 ~ 2003-12-31 |
| Jacob E Crothers | 435 Deering Ave, Portland, ME 04103-4429 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
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| 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).