THEODORE A BLAINE
Physician/surgeon


Address: 16 Marshall Street, Old Greenwich, CT 06870

THEODORE A BLAINE (Credential# 556655) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

THEODORE A BLAINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039067. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 16 Marshall Street, Old Greenwich, CT 06870. The current status is active.

Basic Information

Licensee Name THEODORE A BLAINE
Credential ID 556655
Credential Number 1.039067
Credential Type Physician/Surgeon
Business Address 16 Marshall Street
Old Greenwich
CT 06870
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-10-16
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-05-18

Other licenses

ID Credential Code Credential Type Issue Term Status
293241 CSP.0031679 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-12-11 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 16 Marshall Street
City Old Greenwich
State CT
Zip Code 06870

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Erin Kelly Walsh 20 W End, Old Greenwich, CT 06870 Controlled Substance Registration for Practitioner 2020-06-25 ~ 2021-02-28
Geraldine Smeriglio 15 Saint Claire Avenue, Old Greenwich, CT 06870 Real Estate Salesperson ~
Ellington Enhanced Income Fund Ltd. C/o Ellington Global Asset Management, Old Greenwich, CT 06870 Securities - Exemptions 2020-06-17 ~
Hiba Kamar Hussain 7 Richmond Drive, Old Greenwich, CT 06870 Emergency Medical Technician ~
Old Greenwich Bagel Shop Inc 197 Soundbeach Ave, Old Greenwich, CT 06870 Bakery 2020-07-01 ~ 2021-06-30
Juliana Mendes Napolitano Serrao 3 Tait Road, Old Greenwich, CT 06870 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Robert N Rouleau 205 Shore Road, Old Greenwich, CT 06870 Architect 2020-08-01 ~ 2021-07-31
Charles W Ginste Jr 44 Tomac Avenue, Old Greenwich, CT 06870 Architect 2020-08-01 ~ 2021-07-31
Susan R Alisberg Alisberg Parker Architects, Old Greenwich, CT 06870 Architect 2020-08-01 ~ 2021-07-31
Leander G Krueger 19 Meadow Place, Old Greenwich, CT 06870 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06870

Competitor

Search similar business entities

City Old Greenwich
Zip Code 06870
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Old Greenwich

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Theodore Lidz 60 Orchard Rd, Woodbridge, CT 06525 Physician/surgeon 1995-02-07 ~ 1996-04-30
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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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