LAWRENCE M BLUM MD (Credential# 539900) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 9, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
LAWRENCE M BLUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011118. The credential type is physician/surgeon. The effective date is March 9, 2004. The expiration date is April 30, 2005. The business address is 125 Field Point Dr, Fairfield, CT 06824-6374. The current status is inactive.
| Licensee Name | LAWRENCE M BLUM MD |
| Credential ID | 539900 |
| Credential Number | 1.011118 |
| Credential Type | Physician/Surgeon |
| Business Address |
125 Field Point Dr Fairfield CT 06824-6374 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1962-10-29 |
| Effective Date | 2004-03-09 |
| Expiration Date | 2005-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151758 | CSP.0004732 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 125 FIELD POINT DR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6374 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paige B Hammond | 115 Field Point Dr, Fairfield, CT 06824-6374 | Interior Designer | 2020-06-04 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Blum | 93 Library St., Mystic, CT 06355 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael S. Blum | 84 Hoyt Ln, Guilford, CT 06437-4329 | Physician/surgeon | 2003-02-10 ~ 2004-03-31 |
| Richard S Blum | 38 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Leslie F Blum | 32 Chestnut Ridge Rd, Armonk, NY 10504 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Susan S Blum Md | 34 Rye Ridge Plaza, Rye Brook, NY 10573 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael Lloyd Blum | 7161 Via Firenze, Boca Raton, FL 33433 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lawrence Blum · Baker Companies Inc | 43 Farm Hill Rd, Orange, CT 06477 | Real Estate Salesperson | 2003-06-01 ~ 2004-05-31 |
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Joanne Blum-carnevale · Blum-carnevale | 27 Teneycke Hill Rd, N Falmouth, MA 22556 | Advanced Practice Registered Nurse | 2003-01-15 ~ 2004-03-31 |
Please comment or provide details below to improve the information on LAWRENCE M BLUM MD.
| 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).