RICHARD W CRUMMER (Credential# 552356) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.
RICHARD W CRUMMER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034760. The credential type is physician/surgeon. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 686 Quaker Road, Chappaqua, NY 10514. The current status is inactive.
Licensee Name | RICHARD W CRUMMER |
Credential ID | 552356 |
Credential Number | 1.034760 |
Credential Type | Physician/Surgeon |
Business Address |
686 Quaker Road Chappaqua NY 10514 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-08-04 |
Effective Date | 2014-06-01 |
Expiration Date | 2015-05-31 |
Refresh Date | 2015-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
162318 | CSP.0023609 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-09-07 - 1996-02-28 | INACTIVE |
Street Address | 686 QUAKER ROAD |
City | CHAPPAQUA |
State | NY |
Zip Code | 10514 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 10514 |
City | CHAPPAQUA |
Zip Code | 10514 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CHAPPAQUA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
Richard W Whitfield | Amc/westpost | Physician/surgeon | 1999-10-12 ~ 2000-11-30 |
Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Richard J Given | 400 E 52nd St Apt 4c, New York, NY 10022-6415 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).