DEBORAH LISK BUCKINGHAM (Credential# 1659195) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DEBORAH LISK BUCKINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063837. The credential type is physician/surgeon. The effective date is July 2, 2019. The expiration date is July 31, 2020. The business address is 400 Northwood Dr, Centre, AL 35960-1023. The current status is active.
| Licensee Name | DEBORAH LISK BUCKINGHAM |
| Credential ID | 1659195 |
| Credential Number | 1.063837 |
| Credential Type | Physician/Surgeon |
| Business Address |
400 Northwood Dr Centre AL 35960-1023 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-02 |
| Effective Date | 2019-07-02 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-02 |
| Street Address | 400 NORTHWOOD DR |
| City | CENTRE |
| State | AL |
| Zip Code | 35960-1023 |
| City | CENTRE |
| Zip Code | 35960 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CENTRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah L Klimek Md | 405 Buckingham Pointe, Charleston, WV 25309 | Physician/surgeon | 2003-01-02 ~ 2004-02-29 |
| Sarah E Buckingham | 67 5th St, Stamford, CT 06905-4704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hussein I Alahmadi | 37 Buckingham Rd, Avon, CT 06001 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jane R Lubin Md | 31 Buckingham Pl, Norwalk, CT 06851-5003 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Xiao C Mu | 4708 Buckingham Dr, Chattanooga, TN 37421 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mingfu Yu | 42 Buckingham Road, Avon, CT 06001 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Riad Abou Zahr | 430 Buckingham Rd Apt 730, Richardson, TX 75081-5757 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Matthew Verdone | 20 Buckingham Ct, Saint James, NY 11780-3526 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Patrick M Foye | 38 Buckingham Circle, Pine Brook, NJ 07058 | Physician/surgeon | 2001-04-18 ~ 2002-06-30 |
| Steven Donlon | 11 Buckingham Lane, West Hartford, CT 06117-1719 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).