JOHN F ZWETCHKENBAUM
Physician/surgeon


Address: 1056 Hope Street, Providence, RI 02906

JOHN F ZWETCHKENBAUM (Credential# 556646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 9, 2004. The license expiration date date is August 31, 2005. The license status is INACTIVE.

Business Overview

JOHN F ZWETCHKENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039058. The credential type is physician/surgeon. The effective date is August 9, 2004. The expiration date is August 31, 2005. The business address is 1056 Hope Street, Providence, RI 02906. The current status is inactive.

Basic Information

Licensee Name JOHN F ZWETCHKENBAUM
Credential ID 556646
Credential Number 1.039058
Credential Type Physician/Surgeon
Business Address 1056 Hope Street
Providence
RI 02906
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-10-11
Effective Date 2004-08-09
Expiration Date 2005-08-31
Refresh Date 2009-07-08

Office Location

Street Address 1056 Hope Street
City Providence
State RI
Zip Code 02906

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
The Stephen C. Rose Legacy Foundation · The Steve Fund 138 Governor Street, Providence, RI 02906 Public Charity 2020-06-12 ~ 2021-11-30
Moriah Connor 211 Waterman Street, Unit 20, Providence, RI 02906 Behavior Analyst ~
Elizabeth Burns 198 Camp Street, Providence, RI 02906 Licensed Clinical Social Worker ~
Christine Montross 345 Blackstone Blvd, Providence, RI 02906 Physician/surgeon 2020-09-01 ~ 2021-08-31
Susan Dickstein 196 Freeman Parkway, Providence, RI 02906 Psychologist 2020-07-01 ~ 2021-06-30
Victoria S Karlsen 415 Angell St, Providence, RI 02906 Behavior Analyst ~
John W O'bell Md 14 Rose Ct., Providence, RI 02906 Physician/surgeon 2020-06-01 ~ 2021-05-31
Alexandria Hanul Simon 323 Angell Street, Providence, RI 02906 Emergency Medical Technician ~
Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
Simon M Cornelissen 45 Balton Rd, Providence, RI 02906 Physician/surgeon 2020-05-01 ~ 2021-04-30
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City Providence
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License Type Physician/Surgeon
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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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