KEITH I BLOCK
Physician/surgeon


Address: 1624 Wesley Ave, Evanston, IL 60201-4106

KEITH I BLOCK (Credential# 1657313) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 9, 1982. The license expiration date date is March 31, 1985. The license status is INACTIVE.

Business Overview

KEITH I BLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023804. The credential type is physician/surgeon. The effective date is August 9, 1982. The expiration date is March 31, 1985. The business address is 1624 Wesley Ave, Evanston, IL 60201-4106. The current status is inactive.

Basic Information

Licensee Name KEITH I BLOCK
Credential ID 1657313
Credential Number 1.023804
Credential Type Physician/Surgeon
Business Address 1624 Wesley Ave
Evanston
IL 60201-4106
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-08-09
Effective Date 1982-08-09
Expiration Date 1985-03-31
Refresh Date 2019-05-15

Office Location

Street Address 1624 WESLEY AVE
City EVANSTON
State IL
Zip Code 60201-4106

Licenses in the same zip code

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Peter A Dubin 807 Davis Street, Evanston, IL 60201 Architect 2020-08-01 ~ 2021-07-31
Rupert C Mckenzie 1430 Chicago Ave Apt 2e, Evanston, IL 60201 Hairdresser/cosmetician 2020-06-01 ~ 2022-05-31
Rotary International 1 Rotary Center 1560 Sherman Ave, Evanston, IL 60201 Public Charity 2020-06-01 ~ 2021-05-31
Iroquois Valley Farms LLC 708 Church Street, Evanston, IL 60201 Securities - Exemptions 2020-04-29 ~
Amy Owen 2119 Sherman Ave., Evanston, IL 60201 Professional Counselor 2020-06-01 ~ 2021-05-31
Macvad Usa Ltd 1603 Orrington Avenue, Evanston, IL 60201 Manufacturer of Bedding & Upholstered Furniture 2018-03-16 ~ 2020-03-23
Pc Elfun, LLC 630 Davis Street, Evanston, IL 60201 Securities - Exemptions 2020-03-05 ~
Claudette C Bergeron 1923 Noyes, Evanston, IL 60201 Registered Nurse 2016-07-01 ~ 2017-06-30
United Methodist Church Foundation 1200 Davis Street, Evanston, IL 60201 Public Charity-exempt From Financial Requirements ~
United Methodist Overseas Pension Corporation 1201 Davis Street, Evanston, IL 60201 Public Charity-exempt From Financial Requirements ~
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Competitor

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City EVANSTON
Zip Code 60201
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EVANSTON

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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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