GEORGE A LUNDBERG JR (Credential# 538967) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 12, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.
GEORGE A LUNDBERG JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007736. The credential type is physician/surgeon. The effective date is May 12, 2009. The expiration date is May 31, 2010. The business address is 264 Boulder Road, Manchester, CT 06040. The current status is inactive.
| Licensee Name | GEORGE A LUNDBERG JR |
| Credential ID | 538967 |
| Credential Number | 1.007736 |
| Credential Type | Physician/Surgeon |
| Business Address |
264 Boulder Road Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1956-01-18 |
| Effective Date | 2009-05-12 |
| Expiration Date | 2010-05-31 |
| Refresh Date | 2010-09-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149787 | CSP.0001720 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 264 Boulder Road |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Einar A Lundberg | 324 Springer Rd, Fairfield, CT 06430 | Physician/surgeon | 1998-05-15 ~ 1998-05-31 |
| Walter B Lundberg Jr | 120 Uncas Point Rd, Guilford, CT 06437-3152 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Barber and Lundberg Inc | Southeren Region, Ft Worth, TX 76106 | Wholesaler of Drugs, Cosmetics & Medical Devices | 1995-06-26 ~ 1996-06-30 |
| George S Isckarus | George Isckarus, M.d., Joppa, MD 21085 | Physician/surgeon | 2004-12-24 ~ 2006-02-28 |
| George A F Lundberg IIi · Riley's Liquor Store | 320 Hartford Turnpike, Vernon, CT 06066 | Package Store Liquor | 2009-12-10 ~ 2010-12-09 |
| George J Dirago | 359 N Central Ave, Hartsdale, NY 10530-1811 | Physician/surgeon | ~ |
| George R Lee IIi | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| George Gorich | 9 Campus Pl Apt 2b, Scarsdale, NY 10583-1549 | Physician/surgeon | ~ |
| George Tawfik | 427 Nome Ave, New York, NY 10314 | Physician/surgeon | ~ |
| George Braff | P.o. Box 157, Lisbon, NH 03585 | Physician/surgeon | 2005-06-29 ~ 2006-08-31 |
Please comment or provide details below to improve the information on GEORGE A LUNDBERG JR.
| 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).