EDWIN H DOMBROWSKI MD (Credential# 540231) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 12, 1997. The license expiration date date is April 30, 1998. The license status is INACTIVE.
EDWIN H DOMBROWSKI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012131. The credential type is physician/surgeon. The effective date is March 12, 1997. The expiration date is April 30, 1998. The business address is Po Box 4201, Surf City, NC 28445. The current status is inactive.
| Licensee Name | EDWIN H DOMBROWSKI MD |
| Credential ID | 540231 |
| Credential Number | 1.012131 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 4201 Surf City NC 28445 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1965-04-19 |
| Effective Date | 1997-03-12 |
| Expiration Date | 1998-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150118 | CSP.0002910 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | PO BOX 4201 |
| City | SURF CITY |
| State | NC |
| Zip Code | 28445 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara A Smith | P.o. Box 4221, Surf City, NC 28445 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Holly Ridge Foods Inc | 312 Sound Road, Holly Ridge, NC 28445 | Bakery | 1995-07-01 ~ 1996-06-30 |
| Henry W Prescott | 101 Seagull Ct., Holly Ridge, NC 28445 | Crane Operator | 2002-10-01 ~ 2004-09-30 |
| Diana S Ortiz · Moody | 725 Morris Landing Road, Holly Ridge, NC 28445 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| Francis M Camps-campins | 101 South Oak Drive, Surf City, NC 28445 | Professional Engineer | 1999-02-01 ~ 2013-01-31 |
| Marjorie Holte | Po Box 2656, Surf City, NC 28445 | Registered Nurse | 1992-05-27 ~ 1993-05-31 |
| Maureen E Wood | 1036 Ocean Blvd, Topsail Beach, NC 28445 | Registered Nurse | 2002-08-16 ~ 2003-09-30 |
| Kelli A Flannery | Po Box 2127, Surf City, NC 28445 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Susan L Stevens · Taylor | Po Box 2357, Surf City, NC 28445-0020 | Massage Therapist | 2020-04-01 ~ 2022-03-31 |
| Marie C Ogrodnik | 121b N Shore Dr, Surf City, NC 28445-6639 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 28445 | |||
| City | SURF CITY |
| Zip Code | 28445 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SURF CITY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edwin Raffi | 339 Massachusetts Ave, Arlington, MA 02474-6718 | Physician/surgeon | ~ |
| Edwin Oh | 241 Hamilton Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edwin A Spath Jr | 859 Prospect Ave, W Hartford, CT 06105-4229 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Edwin D Lacuanan | 3 Demartino Ave, Yonkers, NY 10703 | Physician/surgeon | 1996-08-05 ~ 1997-07-31 |
| Edwin V Tan | 720 West 170th St, New York, NY 10032 | Physician/surgeon | 1996-02-26 ~ 1997-02-28 |
| Edwin D Williamson Md | 88 Cottage St Apt 1, New Haven, CT 06511-2404 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Edwin W Lojeski Do | 310 Dakota Rd, Hailey, ID 83333 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Edwin Urbi Md | 392 State St #13-e, North Haven, CT 06473 | Physician/surgeon | 1998-01-09 ~ 1999-02-28 |
| L Edwin Sproul Jr | Lawrence D Memorial, New London, CT 06320 | Physician/surgeon | 1998-02-23 ~ 1999-04-30 |
| Edwin Dominguez | 1729 Haight Ave, Bronx, NY 10461-1401 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
Please comment or provide details below to improve the information on EDWIN H DOMBROWSKI 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).