RUBEN L SHAPIRO
Physician/surgeon


Address: 15 Turnberry Lane, Bloomfield, CT 06002

RUBEN L SHAPIRO (Credential# 539893) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 12, 2008. The license expiration date date is December 31, 2009. The license status is INACTIVE.

Business Overview

RUBEN L SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011103. The credential type is physician/surgeon. The effective date is December 12, 2008. The expiration date is December 31, 2009. The business address is 15 Turnberry Lane, Bloomfield, CT 06002. The current status is inactive.

Basic Information

Licensee Name RUBEN L SHAPIRO
Credential ID 539893
Credential Number 1.011103
Credential Type Physician/Surgeon
Business Address 15 Turnberry Lane
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1962-09-13
Effective Date 2008-12-12
Expiration Date 2009-12-31
Refresh Date 2010-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
149669 CSP.0001122 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE

Office Location

Street Address 15 Turnberry Lane
City Bloomfield
State CT
Zip Code 06002

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Competitor

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City Bloomfield
Zip Code 06002
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bloomfield

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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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