ROBERT S LAZAR (Credential# 545383) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
ROBERT S LAZAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025276. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 521 West Drive, Munford, TN 38058. The current status is inactive.
Licensee Name | ROBERT S LAZAR |
Credential ID | 545383 |
Credential Number | 1.025276 |
Credential Type | Physician/Surgeon |
Business Address |
521 West Drive Munford TN 38058 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1984-02-01 |
Effective Date | 2018-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-06-03 |
Street Address | 521 WEST DRIVE |
City | MUNFORD |
State | TN |
Zip Code | 38058 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anastasia Jeanine Kuykendall | 23 Chelsia Ln, Munford, TN 38058 | Registered Nurse | 2020-05-22 ~ 2021-05-31 |
Mattress Retail Solutions, Inc. | 24 Mclaughlin St., Munford, TN 38058 | Sterilization Permit for Bedding & Upholstered Furniture | 2015-02-10 ~ 2016-04-30 |
Karen Torske | 173 Lindsey Marie Lane, Munford, TN 38058 | Registered Nurse | 2019-02-01 ~ 2020-02-28 |
City | MUNFORD |
Zip Code | 38058 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MUNFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lazar Feygin Md | 203 The Mews, Rocky Hill, CT 06067 | Physician/surgeon | 1998-12-28 ~ 2000-02-29 |
Eliot J Lazar | 29 Beechwood Road, Irvington, NY 10533 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lazar Foundation for The Performing Arts Inc. | 69 North Ave, Westport, CT 06880-2719 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Alexander J Lazar | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
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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).