BERNARD R BLAIS
Physician/surgeon


Address: 4 Innisbrook Drive, Clifton Park, NY 12065

BERNARD R BLAIS (Credential# 550073) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 11, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.

Business Overview

BERNARD R BLAIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032465. The credential type is physician/surgeon. The effective date is August 11, 1995. The expiration date is September 30, 1996. The business address is 4 Innisbrook Drive, Clifton Park, NY 12065. The current status is inactive.

Basic Information

Licensee Name BERNARD R BLAIS
Credential ID 550073
Credential Number 1.032465
Credential Type Physician/Surgeon
Business Address 4 Innisbrook Drive
Clifton Park
NY 12065
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-07-24
Effective Date 1995-08-11
Expiration Date 1996-09-30
Refresh Date 2009-07-08

Office Location

Street Address 4 INNISBROOK DRIVE
City CLIFTON PARK
State NY
Zip Code 12065

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Robert W Badger 15 Devoe Drive, Clifton Park, NY 12065 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City CLIFTON PARK
Zip Code 12065
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CLIFTON PARK

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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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