LARRY E BLITSTEIN (Credential# 549062) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
LARRY E BLITSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031293. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 11 Rose Clf, Farmington, CT 06032-2857. The current status is active.
| Licensee Name | LARRY E BLITSTEIN |
| Credential ID | 549062 |
| Credential Number | 1.031293 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Rose Clf Farmington CT 06032-2857 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-01-11 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161457 | CSP.0021529 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 11 ROSE CLF |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2857 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larry Difabrizio | 29 Meadow Dr, Cos Cob, CT 06807 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
| Larry J Pleener | P.o. Box 802, Bellmore, NY 11710 | Physician/surgeon | 2009-05-21 ~ 2010-07-31 |
| Larry M Marcus | 68 Lofgren Rd, Avon, CT 06001-3170 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Larry V Amsel | 48 W68th #8a, New York, NY 10023 | Physician/surgeon | 1997-08-18 ~ 1998-08-31 |
| Larry E. Jacobs | 234 Fountain St, New Haven, CT 06515-1915 | Physician/surgeon | 1985-07-29 ~ 1987-12-31 |
| Larry Coletti | 34 Gulliver Cir, Norwich, CT 06360-1641 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Larry M Neuman | 4120 Broadway, New York, NY 10033 | Physician/surgeon | 1997-02-21 ~ 1998-04-30 |
| Larry B Levine | Mhs Primary Care Inc, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Larry H Bernstein | 232 Fitch's Pass, Trumbull, CT 06611 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Larry I Lerner | 5250 Independence Ave, Riverdale, NY 10471 | Physician/surgeon | 1999-11-03 ~ 2000-11-30 |
Please comment or provide details below to improve the information on LARRY E BLITSTEIN.
| 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).