PETER H FORMAN JR (Credential# 558722) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 13, 2003. The license expiration date date is December 31, 2003. The license status is INACTIVE.
PETER H FORMAN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041139. The credential type is physician/surgeon. The effective date is February 13, 2003. The expiration date is December 31, 2003. The business address is 29 Ten Eyck Avenue, Albany, NY 12209. The current status is inactive.
| Licensee Name | PETER H FORMAN JR |
| Credential ID | 558722 |
| Credential Number | 1.041139 |
| Credential Type | Physician/Surgeon |
| Business Address |
29 Ten Eyck Avenue Albany NY 12209 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-02-13 |
| Effective Date | 2003-02-13 |
| Expiration Date | 2003-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 29 Ten Eyck Avenue |
| City | Albany |
| State | NY |
| Zip Code | 12209 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryann Abico-ullman | 135 Edgecomb Street, Albany, NY 12209 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Harry E Hoeltzel | 51 Hurlbert St, Albany, NY 12209 | Crane Operator | 1990-01-21 ~ 1992-01-20 |
| Frank Muia Jr | Po Box 9092, Albany, NY 12209 | Real Estate Salesperson | 2004-06-01 ~ 2005-05-31 |
| Richard H Green | 122 Edgecomb St, Albany, NY 12209 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Margaret P Lucas | 300 Second Ave, Albany, NY 12209 | Registered Nurse | 2008-06-30 ~ 2009-07-31 |
| Henrietta Ware | 28 Sparkill Ave, Albany, NY 12209 | Licensed Practical Nurse | 2008-09-19 ~ 2009-09-30 |
| Linda A Adamchak | 30 Besch Ave, Albany, NY 12209 | Chiropractor | 1993-01-25 ~ 1993-12-31 |
| Barbara Manzione | 16 Marwill St, Albany, NY 12209 | Registered Nurse | 1992-08-26 ~ 1993-09-30 |
| Katherine M Emsing | 20 Joelson Ct, Albany, NY 12209 | Registered Nurse | 2000-06-26 ~ 2000-10-31 |
| Anna L Coryea · Passaro | 49 Kelton Court, Albany, NY 12209 | Registered Nurse | 2007-04-04 ~ 2008-05-31 |
| Find all Licenses in zip 12209 | |||
| City | Albany |
| Zip Code | 12209 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Albany |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mel A Forman | 46 White Fall Ln, New Canaan, CT 06840-2039 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Howard P Forman | 100 Temple St, New Haven, CT 06510 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Robin Forman Rose | 195 Danbury Rd, Wilton, CT 06897-4075 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Barr H Forman | 200 Orchard Street, New Haven, CT 06511 | Physician/surgeon | 2006-02-17 ~ 2007-04-30 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| Katherine Wu | 309 Peter Forman Drive, Freehold, NJ 07728 | Certified Public Accountant License | 2009-01-01 ~ 2009-12-31 |
| The Forman School Inc · Peirce Dining Hall | 12 Norfolk Rd, Litchfield, CT 06759-2537 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Forman Industries Inc · F I Companies | 3150 Bordentown Ave, Old Bridge, NJ 08857-9703 | Major Contractor | 2017-05-09 ~ 2017-06-30 |
| Sandi Richards Forman | 31 Milwaukee Avenue, Bethel, CT 06801 | Certified Public Accountant Firm Permit | 1990-02-22 ~ 1990-12-31 |
Please comment or provide details below to improve the information on PETER H FORMAN 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).