ELLIOTT I FANKUCHEN (Credential# 546497) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
ELLIOTT I FANKUCHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027297. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 47 Channel Rd, Newport Beach, CA 92663-4423. The current status is active.
| Licensee Name | ELLIOTT I FANKUCHEN |
| Credential ID | 546497 |
| Credential Number | 1.027297 |
| Credential Type | Physician/Surgeon |
| Business Address |
47 Channel Rd Newport Beach CA 92663-4423 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-05-30 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-19 |
| Street Address | 47 CHANNEL RD |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-4423 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| L Squared Capital Partners IIi LLC | 3434 Via Lido, Ste 300, Newport Beach, CA 92663 | Securities - Exemptions | 2020-04-09 ~ |
| Verb Technology Company, Inc. | 2210 Newport Boulevard, Newport Beach, CA 92663 | Securities - Exemptions | 2019-10-09 ~ |
| L Squared Capital Partners II LLC | 2429 W Coast Highway, Newport, CA 92663 | Securities - Exemptions | 2017-09-05 ~ |
| David L Rhodes | 110 Via Quito, Newport Beach, CA 92663 | Architect | 2019-08-01 ~ 2020-07-31 |
| Neal A Onate | 835 Seagull Ln, Newport Beach, CA 92663 | Registered Nurse | 2009-04-30 ~ 2010-06-30 |
| Lisa R Kantrowitz | 711 Via Lido Nord, Newport Beach, CA 92663 | Physician/surgeon | 2008-08-15 ~ 2009-08-31 |
| Ruth M Reynolds | 1301 Kings Road, Newport Beach, CA 92663 | Registered Nurse | 1999-05-27 ~ 2000-07-31 |
| William L Fagan | 177f Riverside Dr, Newport Beach, CA 92663 | Plumbing & Piping Unlimited Contractor | ~ 1995-10-01 |
| William L Fagan | 177-f Riverside Drive, Newport Beach, CA 92663 | Heating, Piping & Cooling Unlimited Contractor | ~ 1995-10-01 |
| Shotpak Inc · Pocketshots | 177 Riverside Avenue Ste F1184, Newport Beach, CA 92663 | Out of State Shipper Liquor | 2006-04-15 ~ 2007-04-14 |
| Find all Licenses in zip 92663 | |||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWPORT BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roger Elliott Belson | CT | Physician/surgeon | 1980-06-09 ~ 1984-03-31 |
| Elliott R Mayo | 74 Beach St, Litchfield, CT 06759 | Physician/surgeon | 1996-10-07 ~ 1997-12-31 |
| Tania Elliott | 26 Island Way, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elliott B Sweet Md | 65 Kane St, West Hartford, CT 06119 | Physician/surgeon | 1998-03-02 ~ 1999-03-31 |
| Elliott J Wagner | 200 E 66th St # C904, New York, NY 10065-9175 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elliott H Rose | 15 Richbell Road, Scarsdale, NY 10583 | Physician/surgeon | 1999-12-16 ~ 2001-01-31 |
| Jehan Elliott | 34 Deer Run Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frank G Elliott Jr | 1005 Prospect Dr, Stratford, CT 06497 | Physician/surgeon | 1996-07-12 ~ 1997-08-31 |
| Emily Cordelia Elliott | 5 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | ~ |
| Kathryn J Elliott | 2817 E Park Dr E, Seattle, WA 98112-2003 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ELLIOTT I FANKUCHEN.
| 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).