FREDRIC DAUM MD (Credential# 559159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 9, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
FREDRIC DAUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041576. The credential type is physician/surgeon. The effective date is January 9, 2006. The expiration date is February 28, 2007. The business address is 54 Beach Ave, Larchmont, NY 10538-4003. The current status is inactive.
| Licensee Name | FREDRIC DAUM MD |
| Credential ID | 559159 |
| Credential Number | 1.041576 |
| Credential Type | Physician/Surgeon |
| Business Address |
54 Beach Ave Larchmont NY 10538-4003 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-06-20 |
| Effective Date | 2006-01-09 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-07-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 346959 | CSP.0033826 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 54 BEACH AVE |
| City | LARCHMONT |
| State | NY |
| Zip Code | 10538-4003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan B Bernstein | 29 Mountain Ave, Larchmont, NY 10538 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Gay B Prizio | 14 N. Chatsworth Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Nestor J Kyritsis | 26 Plymouth Rd, Larchmont, NY 10538 | Architect | 2018-12-17 ~ 2019-07-31 |
| Jill K Patricot | 63 Chestnut Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kinnan K O'connell | 81 Willow Ave, Larchmont, NY 10538 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Sandra Rose | 76 Wendt Ave, Larchmont, NY 10538 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| John D Parker | 10 Rockhill Terrace, Larchmont, NY 10538 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Leslie Ellen Coplin | 4 Concord Avenue, Larchmont, NY 10538 | Master's Level Social Worker | 2020-04-06 ~ 2021-03-31 |
| Tuccimar Inc. | 46 Vanderburgh Ave, Larchmont, NY 10538 | Demolition Contractor | 2020-04-06 ~ 2021-04-30 |
| Denise Digioia Aprn | 35 N Chatsworth Avenue, Larchmont, NY 10538 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10538 | |||
| City | LARCHMONT |
| Zip Code | 10538 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LARCHMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fredric I Seinfeld | CT | Physician/surgeon | 1981-09-14 ~ 1986-12-31 |
| Fredric I Fischbein | 12r Woodhaven Drive, Portland, CT 06480 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Fredric A. Farber, Cpa, PC | 777 Farmington Avenue, Hartford, CT 06119 | Certified Public Accountant Firm Permit | 1999-01-01 ~ 1999-12-31 |
| Fredric A Farber | 363 Main Street, Hartford, CT 06106 | Certified Public Accountant Firm Permit | 1990-12-14 ~ 1990-12-31 |
| Fredric Magnien Nuits St. Georges Vielles Vignes | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-12-29 ~ 2002-12-29 |
| Bailey Daum | 1262 Union St, San Francisco, CA 94109-1923 | Registered Nurse | ~ |
| Eric I Daum | 305 North Main St, Andover, MA 01810 | Architect | 2019-08-01 ~ 2020-07-31 |
| Megan Jo Ehret | 9021 Daum Ct, Springfield, VA 22153-2453 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Dina Daum | 21 Phyllis Lane, Newtown, CT 06470 | Dental Hygienist | 2019-09-01 ~ 2020-08-31 |
| Crystal M Daum | 232 Seymour Ave, Derby, CT 06418-1310 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on FREDRIC DAUM MD.
| 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).