DAVID I BLOOM (Credential# 538305) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 10, 1998. The license expiration date date is March 31, 1999. The license status is INACTIVE.
DAVID I BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.003379. The credential type is physician/surgeon. The effective date is February 10, 1998. The expiration date is March 31, 1999. The business address is 11 East Ridge Rd, New London, CT 06320. The current status is inactive.
| Licensee Name | DAVID I BLOOM |
| Credential ID | 538305 |
| Credential Number | 1.003379 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 East Ridge Rd New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1936-04-15 |
| Effective Date | 1998-02-10 |
| Expiration Date | 1999-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 11 EAST RIDGE RD |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George P Bloom | 13 Wentworth Park, Farmington, CT 06032-1559 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Ronald J Bloom Dr | Cottage Grove Cardiology, PC, Bloomfield, CT 06002 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Brenda Bloom · Bloom | 23 Nantucket Pl, Manhattan Beach, CA 90266-7230 | Dental Hygienist | 2002-09-30 ~ 2003-10-31 |
| Marjorie E Bloom · Bloom | 132 Beekman Drive, Agawam, MA 01001 | Licensed Clinical Social Worker | 2010-08-01 ~ 2011-07-31 |
| David J Bloom | 103 Raymond Rd, West Hartford, CT 06107-2538 | Emergency Medical Responder | 2013-02-15 ~ 2016-04-01 |
| David I Bloom Md | 2 Bridge Lane, Enfield, CT 06083 | Controlled Substance Registration for Practitioner | ~ |
| Bloom Homes LLC | 84 Indian Trail, New Milford, CT 06776 | New Home Construction Contractor | 2001-10-01 ~ 2003-09-30 |
| Edward David Bloom | 222 Foxwood Lane, Milford, CT 06461 | Tax Preparer/facilitator Permit | 2018-12-12 ~ 2020-12-31 |
| David I Bloom Jr | 1060 Day Hill Road, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bloom Construction | 34 Claudia Dr, Southington, CT 06489 | Home Improvement Contractor | 2003-07-14 ~ 2003-11-30 |
Please comment or provide details below to improve the information on DAVID I BLOOM.
| 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).