BRADLEY A BLACKBURN
Physician/surgeon


Address: 200 California Rd Apt 21, Bronxville, NY 10708-4427

BRADLEY A BLACKBURN (Credential# 546076) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 12, 1985. The license expiration date date is April 30, 1987. The license status is INACTIVE.

Business Overview

BRADLEY A BLACKBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026572. The credential type is physician/surgeon. The effective date is July 12, 1985. The expiration date is April 30, 1987. The business address is 200 California Rd Apt 21, Bronxville, NY 10708-4427. The current status is inactive.

Basic Information

Licensee Name BRADLEY A BLACKBURN
Credential ID 546076
Credential Number 1.026572
Credential Type Physician/Surgeon
Business Address 200 California Rd Apt 21
Bronxville
NY 10708-4427
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1985-07-12
Effective Date 1985-07-12
Expiration Date 1987-04-30
Refresh Date 2009-07-08

Office Location

Street Address 200 CALIFORNIA RD APT 21
City BRONXVILLE
State NY
Zip Code 10708-4427

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Carmelita Reyes-montinola 801 Bronx River Rd, Bronxville, NY 10708 Registered Nurse 2020-08-01 ~ 2021-07-31
Hedieh Honarpisheh 52 Howe Place, Bronxville, NY 10708 Physician/surgeon 2020-07-01 ~ 2021-06-30
Joshua Brandfonbrener 9 Alden Place, Bronxville, NY 10708 Architect 2020-08-01 ~ 2021-07-31
Ayako Takahata 76a Oregon Ave, Bronxville, NY 10708 Real Estate Salesperson 2017-06-01 ~ 2018-05-31
Anne H Angevine Md 14 Westway, Bronxville, NY 10708 Physician/surgeon 2020-09-01 ~ 2021-08-31
Stephen Ryan Meyers 4 Valley Road, Bronxville, NY 10708 Real Estate Broker 2019-04-01 ~ 2020-03-31
Caroline S Beit 11 White Plains Road, Bronxville, NY 10708 Emergency Medical Technician ~
Philip J Overby Md 133 Pondfield Road, Bronxville, NY 10708 Physician/surgeon 2020-05-01 ~ 2021-04-30
Anna Belman 55 Palmer Avenue, Bronxville, NY 10708 Physician/surgeon 2020-07-01 ~ 2021-06-30
Michele L Rohr Md 43 Greenfield Ave, Bronxville, NY 10708 Physician/surgeon 2020-04-01 ~ 2021-03-31
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Competitor

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City BRONXVILLE
Zip Code 10708
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BRONXVILLE

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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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