RICHARD S BLUM (Credential# 542226) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RICHARD S BLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017118. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 38 Forest Glen Dr, Woodbridge, CT 06525-1449. The current status is active.
| Licensee Name | RICHARD S BLUM |
| Credential ID | 542226 |
| Credential Number | 1.017118 |
| Credential Type | Physician/Surgeon |
| Business Address |
38 Forest Glen Dr Woodbridge CT 06525-1449 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1975-03-05 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151759 | CSP.0007902 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 38 FOREST GLEN DR |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-1449 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristy M Laydon | 16 Forest Glen Dr, Woodbridge, CT 06525-1449 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Van Rhee | 34 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Patricia Aguayo Rosas | 58 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Allan Sutin Md | 30 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Jeffrey E Laydon | 16 Forest Glen Dr, Woodbridge, CT 06525-1449 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas M Blum | 93 Library St., Mystic, CT 06355 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael S. Blum | 84 Hoyt Ln, Guilford, CT 06437-4329 | Physician/surgeon | 2003-02-10 ~ 2004-03-31 |
| Susan S Blum Md | 34 Rye Ridge Plaza, Rye Brook, NY 10573 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lawrence M Blum Md | 125 Field Point Dr, Fairfield, CT 06824-6374 | Physician/surgeon | 2004-03-09 ~ 2005-04-30 |
| Leslie F Blum | 32 Chestnut Ridge Rd, Armonk, NY 10504 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Michael Lloyd Blum | 7161 Via Firenze, Boca Raton, FL 33433 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard B Blum | 836 Farmington Ave Ste 218, West Hartford, CT 06119-1544 | Psychologist | 2019-09-01 ~ 2020-08-31 |
| Joanne Blum-carnevale · Blum-carnevale | 27 Teneycke Hill Rd, N Falmouth, MA 22556 | Advanced Practice Registered Nurse | 2003-01-15 ~ 2004-03-31 |
| Irving M. Blum, Cpa | 25 Third Street, Stamford, CT 06905 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
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| 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).