SAMUEL BLANK
Physician/surgeon


Address: 73 Soundview Ave, Madison, CT 06443

SAMUEL BLANK (Credential# 538613) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 24, 1992. The license expiration date date is November 30, 1993. The license status is INACTIVE.

Business Overview

SAMUEL BLANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006149. The credential type is physician/surgeon. The effective date is November 24, 1992. The expiration date is November 30, 1993. The business address is 73 Soundview Ave, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name SAMUEL BLANK
Credential ID 538613
Credential Number 1.006149
Credential Type Physician/Surgeon
Business Address 73 Soundview Ave
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1949-05-09
Effective Date 1992-11-24
Expiration Date 1993-11-30
Refresh Date 2009-07-08

Office Location

Street Address 73 SOUNDVIEW AVE
City MADISON
State CT
Zip Code 06443

Licenses in the same zip code

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Caitlyn Beverly Darosa Lyle Dr, Madison, CT 06443 Registered Nurse ~
Roberts Food Center · Rjf Inc Dba 514 Old Toll Rd, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Karen D Leonetti · Rapuano 553 Green Hill Rd, Madison, CT 06443 Radiographer 2020-09-01 ~ 2021-08-31
Pasquale Sabatasso 122 River Edge Farms Road, Madison, CT 06443 Barber 2020-07-01 ~ 2022-06-30
Madision Health Foods · Jum Ok Coker 59 Wall St, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
Sydni E Marmor 560 Opening Hill Road, Madison, CT 06443 Professional Counselor 2020-07-01 ~ 2021-06-30
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Competitor

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City MADISON
Zip Code 06443
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MADISON

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Neal S. Blank 19700 Greenside Ter, Gaithersburg, MD 20886-1919 Physician/surgeon 1986-07-18 ~ 1987-12-31
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Point Blank Beverage Inc 10911 Whearlands Road Suite E, Santee, CA 92071 Out of State Shipper Beer 2006-06-29 ~ 2007-06-28
Samuel Bergman Po Box 516, Durham, CT 06422-0516 Physician/surgeon 1982-06-22 ~ 1984-04-30
Samuel S Fam Po Box 31294, Clarksville, TN 37040-0022 Physician/surgeon 2020-06-01 ~ 2021-05-31
Samuel A Adesoba P.o. Box 876, New York, NY 10037 Physician/surgeon ~ 1997-10-31
Samuel J Potolicchio Jr 2601 N 3rd St, Harrisburg, PA 17110-2046 Physician/surgeon 1980-03-19 ~ 1981-03-31

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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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