EINAR A LUNDBERG
Physician/surgeon


Address: 324 Springer Rd, Fairfield, CT 06430

EINAR A LUNDBERG (Credential# 538388) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 15, 1998. The license expiration date date is May 31, 1998. The license status is INACTIVE.

Business Overview

EINAR A LUNDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.004534. The credential type is physician/surgeon. The effective date is May 15, 1998. The expiration date is May 31, 1998. The business address is 324 Springer Rd, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name EINAR A LUNDBERG
Credential ID 538388
Credential Number 1.004534
Credential Type Physician/Surgeon
Business Address 324 Springer Rd
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1942-03-31
Effective Date 1998-05-15
Expiration Date 1998-05-31
Refresh Date 2009-07-08

Office Location

Street Address 324 SPRINGER RD
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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