GLENN W SANDBERG JR
Physician/surgeon


Address: Po Box 2370, Dillon, CO 80435

GLENN W SANDBERG JR (Credential# 544048) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.

Business Overview

GLENN W SANDBERG JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022245. The credential type is physician/surgeon. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is Po Box 2370, Dillon, CO 80435. The current status is inactive.

Basic Information

Licensee Name GLENN W SANDBERG JR
Credential ID 544048
Credential Number 1.022245
Credential Type Physician/Surgeon
Business Address Po Box 2370
Dillon
CO 80435
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1980-07-01
Effective Date 2015-12-01
Expiration Date 2016-11-30
Refresh Date 2017-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
149923 CSP.0009505 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address PO BOX 2370
City DILLON
State CO
Zip Code 80435

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Elizabeth R Jensen 265 Dillon Ridge Road, Suite C 402-308, Dillon, CO 80435 Advanced Practice Registered Nurse 2020-04-01 ~ 2021-03-31
Neil Lewis Pitzer Po Box 4711, Dillon, CO 80435 Physician/surgeon 2019-12-01 ~ 2020-11-30
Mary E Skowron 5364 Montezuma Rd, Montezuma, CO 80435 Registered Nurse 2005-09-07 ~ 2006-08-31
Erin E Wiethake · Russo 480 Meadow Wood Cr, Dillon, CO 80435 Massage Therapist 2001-07-25 ~ 2002-09-30
Tamara S Boyd P.o. Box 114, Dillon, CO 80435 Chiropractor 2002-10-11 ~ 2003-11-30
Keystone Center · Keystone Policy Center 1628 Saint John Rd, Keystone, CO 80435-7714 Public Charity 2019-12-01 ~ 2020-11-30

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Brad D Anacker 910 Thatcher Rd, Dillon, MT 59725-8627 Electrical Unlimited Contractor 2019-09-04 ~ 2020-09-30
Yolanda Jurkiewicz 3810 Sally Bennett Rd, Dillon, SC 29536 Registered Nurse 2019-07-01 ~ 2020-06-30
Chelsea Kathleen Rogers 626 S Pacific St, Dillon, MT 59725-2763 Registered Nurse - Temporary 2018-07-03 ~ 2018-10-30
Iacob Marcovici Md 705 8th Avenue, Dillon, SC 29536 Physician/surgeon 2014-06-01 ~ 2015-05-31
Dawn M Cockerill 1226 E. Helena Street, Dillon, MT 59725 Radiographer 2005-07-08 ~ 2006-08-31
Sam E Marrash Po Box 1177, Dillon, SC 29536 Physician/surgeon 1994-05-09 ~ 1995-07-31

Competitor

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City DILLON
Zip Code 80435
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DILLON

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Glenn A Meltzer 33 Lincoln St, Worcester, MA 01605 Physician/surgeon 1998-05-11 ~ 1999-05-31
Glenn M. Flanagan 210 W Division St, Syracuse, NY 13204-1566 Physician/surgeon 2014-02-01 ~ 2015-01-31
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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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