BRADLEY S FOSTER
Physician/surgeon


Address: 21 Memery Ln, Longmeadow, MA 01106-2573

BRADLEY S FOSTER (Credential# 554917) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2018. The license expiration date date is October 31, 2018. The license status is INACTIVE.

Business Overview

BRADLEY S FOSTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037327. The credential type is physician/surgeon. The effective date is June 18, 2018. The expiration date is October 31, 2018. The business address is 21 Memery Ln, Longmeadow, MA 01106-2573. The current status is inactive.

Basic Information

Licensee Name BRADLEY S FOSTER
Credential ID 554917
Credential Number 1.037327
Credential Type Physician/Surgeon
Business Address 21 Memery Ln
Longmeadow
MA 01106-2573
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-10-16
Effective Date 2018-06-18
Expiration Date 2018-10-31
Refresh Date 2019-02-03

Office Location

Street Address 21 MEMERY LN
City LONGMEADOW
State MA
Zip Code 01106-2573

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Susan M Neville 43 Lincoln Road, Longmeadow, MA 01106 Registered Nurse 2020-07-01 ~ 2021-06-30
Kate E Schoenberger 91 Williston Dr, Longmeadow, MA 01106 Paramedic 2020-09-01 ~ 2021-08-31
Bryant E Ostrander 52 Whitmun Road, Longmeadow, MA 01106 Notary Public Appointment 2020-10-01 ~ 2025-09-30
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Competitor

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City LONGMEADOW
Zip Code 01106
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LONGMEADOW

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Jonathan T Foster 60 Westwood Ave Ste 100, Waterbury, CT 06708 Physician/surgeon 2020-04-01 ~ 2021-03-31
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Peter P Stein 19 Foster St, New Haven, CT 06511 Physician/surgeon 1993-10-25 ~ 1994-11-30

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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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