DAVID A ZOMICK
Physician/surgeon


Address: 65 Maureen Drive, Bristol, CT 06010

DAVID A ZOMICK (Credential# 543992) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2012. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

DAVID A ZOMICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022092. The credential type is physician/surgeon. The effective date is March 1, 2012. The expiration date is February 28, 2013. The business address is 65 Maureen Drive, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name DAVID A ZOMICK
Credential ID 543992
Credential Number 1.022092
Credential Type Physician/Surgeon
Business Address 65 Maureen Drive
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1980-05-20
Effective Date 2012-03-01
Expiration Date 2013-02-28
Refresh Date 2013-06-13

Other licenses

ID Credential Code Credential Type Issue Term Status
151909 CSP.0009401 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-01 - 2004-02-28 INACTIVE

Office Location

Street Address 65 Maureen Drive
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRISTOL

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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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