MALCOLM M DECAMP JR. (Credential# 558425) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 9, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
MALCOLM M DECAMP JR. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040842. The credential type is physician/surgeon. The effective date is February 9, 2004. The expiration date is March 31, 2005. The business address is The Cleveland Clinic Foundation, Cleveland, OH 44195. The current status is inactive.
| Licensee Name | MALCOLM M DECAMP JR. |
| Credential ID | 558425 |
| Credential Number | 1.040842 |
| Credential Type | Physician/Surgeon |
| Business Address |
The Cleveland Clinic Foundation Cleveland OH 44195 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-09-18 |
| Effective Date | 2004-02-09 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | The Cleveland Clinic Foundation |
| City | Cleveland |
| State | OH |
| Zip Code | 44195 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan L Schaffer | The Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gene H Barnett | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| The Cleveland Clinic Foundation · Cleveland Clinic | 9500 Euclid Ave, Na-4, Cleveland, OH 44195 | Public Charity-exempt From Financial Requirements | 2019-09-18 ~ |
| James J Yun | 9500 Euclid Avenue, Cleveland, OH 44195 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Peter K Kaiser | Cleveland Clinic Foundation - Cole Eye Institute, Cleveland, OH 44195 | Physician/surgeon | 2005-11-21 ~ 2006-12-31 |
| Robert J Schilz | Cleveland Clinic Fou, Cleveland, OH 44195 | Controlled Substance Registration for Practitioner | 1996-01-11 ~ 1997-02-28 |
| Herbert P Wiedemann | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Christopher T Bajzer | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Kenneth Ouriel | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2006-09-14 ~ 2007-10-31 |
| Curtis M Rimmerman | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2006-03-06 ~ 2007-04-30 |
| Andrew C Novick | Cleveland Clinic Foundation, Cleveland, OH 44195 | Physician/surgeon | 2006-03-06 ~ 2007-04-30 |
| Find all Licenses in zip 44195 | |||
| City | Cleveland |
| Zip Code | 44195 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cleveland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malcolm S Edgar Jr | 410 Washington St, Norwich, CT 06360 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Barjinder Darbhanga | 50 Malcolm St, Hamden, CT 06514 | Physician/surgeon | 2008-05-05 ~ 2009-05-31 |
| Jing Liu | One Malcolm Avenue, Teterboro, NJ 07608 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Malcolm A Galen | 8 Stonepost, Simsbury, CT 06070 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Malcolm M Ellison | 960 Ocean Ave, New London, CT 06320 | Physician/surgeon | 1994-06-20 ~ 1995-08-31 |
| Xinzhu Pang | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Malcolm K Johnson | 420 Jefferson Ave Apt 1, Brooklyn, NY 11221-1087 | Physician/surgeon | 2019-10-03 ~ 2020-09-30 |
| Malcolm S Beinfield Md | 61 Cross Higway, Westport, CT 06880 | Physician/surgeon | 2005-01-19 ~ 2006-03-31 |
| Lisa E Thompson | 181 Malcolm X Blvd, New York, NY 10026 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Malcolm Brochin Md | 16 Hemlock Hollow, Woodbridge, CT 06525 | Physician/surgeon | 2004-02-25 ~ 2005-04-30 |
Please comment or provide details below to improve the information on MALCOLM M DECAMP JR..
| 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).