FREDRIC I FISCHBEIN
Physician/surgeon


Address: 12r Woodhaven Drive, Portland, CT 06480

FREDRIC I FISCHBEIN (Credential# 540885) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

FREDRIC I FISCHBEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013869. The credential type is physician/surgeon. The effective date is August 1, 2009. The expiration date is July 31, 2010. The business address is 12r Woodhaven Drive, Portland, CT 06480. The current status is inactive.

Basic Information

Licensee Name FREDRIC I FISCHBEIN
Credential ID 540885
Credential Number 1.013869
Credential Type Physician/Surgeon
Business Address 12r Woodhaven Drive
Portland
CT 06480
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1969-04-09
Effective Date 2009-08-01
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Other licenses

ID Credential Code Credential Type Issue Term Status
150832 CSP.0005532 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 12R Woodhaven drive
City Portland
State CT
Zip Code 06480

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Competitor

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City Portland
Zip Code 06480
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Portland

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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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