ARTHUR F BLAKE (Credential# 542965) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2011. The license expiration date date is April 30, 2012. The license status is INACTIVE.
ARTHUR F BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019339. The credential type is physician/surgeon. The effective date is May 1, 2011. The expiration date is April 30, 2012. The business address is 1012 Union Street, Bangor, ME 04401. The current status is inactive.
| Licensee Name | ARTHUR F BLAKE |
| Credential ID | 542965 |
| Credential Number | 1.019339 |
| Credential Type | Physician/Surgeon |
| Business Address |
1012 Union Street Bangor ME 04401 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 1977-06-01 |
| Effective Date | 2011-05-01 |
| Expiration Date | 2012-04-30 |
| Refresh Date | 2012-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151525 | CSP.0004003 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-23 - 2011-02-28 | INACTIVE |
| Street Address | 1012 Union Street |
| City | Bangor |
| State | ME |
| Zip Code | 04401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudine Marie Whyte | 96 Otis Street, Bangor, ME 04401 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Robin G Brittelli | 211 Kenduskeag Ave, Bangor, ME 04401 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Antoinette Marie Lake | 92 Sidney Street, Bangor, ME 04401 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Abimbola Mary Iwegbulam | 142 Husson Ave, Bangor, ME 04401 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Joseph Daniel Dupuis | 213 Cedar Breeze South, Glenburn, ME 04401 | Fire Protection Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Edward M Rickard | 9 New Boston Rd, Hermon, ME 04401 | Paramedic | 2019-11-01 ~ 2020-10-31 |
| Augustine Christopher | 342 Union Street, Bangor, ME 04401 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Karl A Andersen | 60b Jefferson Street, Bangor, ME 04401 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Paul L Williams | 14 Leighton Street, Bangor, ME 04401 | Crane Operator | 1999-05-03 ~ 2001-05-02 |
| Albertine - Smith | 39 Randolph Drive, Bangor, ME 04401 | Physical Therapist Assistant | 2016-10-12 ~ 2017-08-31 |
| Find all Licenses in zip 04401 | |||
| City | Bangor |
| Zip Code | 04401 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bangor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stuart W Gardner | 112 Blake Rd, Hamden, CT 06517-3402 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Tomasz E Debowski | 856-c Blake St, Indianapolis, IN 46202 | Physician/surgeon | 1992-01-23 ~ 1992-12-31 |
| Eric R Wolf | 410 Blake Rd, Alpharetta, GA 30022-4416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Robert D Black Md | 330 Blake Cir, Hamden, CT 06517 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ulysses Golia Md | 261 Blake Rd, Hamden, CT 06517 | Physician/surgeon | 2001-04-23 ~ 2002-06-30 |
| Srinivas Seela Md | 261 Blake Road, Hamden, CT 06517 | Physician/surgeon | 2005-03-16 ~ 2006-05-31 |
| Diana R Fischer | 427 Blake Street, New Haven, CT 06515 | Physician/surgeon | 1994-05-05 ~ 1995-06-30 |
| Vivek Dhungana | 400 Blake Street, New Haven, CT 06515 | Physician/surgeon | 2020-05-14 ~ 2021-02-28 |
| Philip T Merideth | 427 Blake Street, New Haven, CT 06515 | Physician/surgeon | 1997-04-11 ~ 1998-04-30 |
| Perry L Miller Md | 121 Blake Road, Hamden, CT 06517 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on ARTHUR F BLAKE.
| 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).