JEFFREY P TANNENBAUM (Credential# 544829) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 11, 1996. The license expiration date date is March 31, 1997. The license status is INACTIVE.
JEFFREY P TANNENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023950. The credential type is physician/surgeon. The effective date is March 11, 1996. The expiration date is March 31, 1997. The business address is 1144 Williams St, Longmeadow, MA 01106. The current status is inactive.
| Licensee Name | JEFFREY P TANNENBAUM |
| Credential ID | 544829 |
| Credential Number | 1.023950 |
| Credential Type | Physician/Surgeon |
| Business Address |
1144 Williams St Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-09-24 |
| Effective Date | 1996-03-11 |
| Expiration Date | 1997-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1144 WILLIAMS ST |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | LONGMEADOW |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LONGMEADOW |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Howard Tannenbaum | Opticare, P.C., Waterbury, CT 06708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alice S Tannenbaum | 338 West 72nd Street, New York, NY 10023 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
| Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Jeffrey T Pan Md | 41 Ironwood Rd, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
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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).