RICHARD W CRUMMER
Physician/surgeon


Address: 686 Quaker Road, Chappaqua, NY 10514

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
162318 CSP.0023609 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-09-07 - 1996-02-28 INACTIVE

Office Location

Street Address 686 QUAKER ROAD
City CHAPPAQUA
State NY
Zip Code 10514

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City CHAPPAQUA
Zip Code 10514
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CHAPPAQUA

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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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