STEPHEN M HENESCH
Physician/surgeon


Address: 32 Conshohocken State Road Apt D2, Bala Cynwyd, PA 19004

STEPHEN M HENESCH (Credential# 560061) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 15, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.

Business Overview

STEPHEN M HENESCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042479-DO. The credential type is physician/surgeon. The effective date is September 15, 2004. The expiration date is September 30, 2005. The business address is 32 Conshohocken State Road Apt D2, Bala Cynwyd, PA 19004. The current status is inactive.

Basic Information

Licensee Name STEPHEN M HENESCH
Credential ID 560061
Credential Number 1.042479-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 32 Conshohocken State Road Apt D2
Bala Cynwyd
PA 19004
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-05-24
Effective Date 2004-09-15
Expiration Date 2005-09-30
Refresh Date 2010-03-11

Office Location

Street Address 32 Conshohocken State Road Apt D2
City Bala Cynwyd
State PA
Zip Code 19004

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Jennifer L Desjardins 600 Righters Ferry Road, Bala Cynwyd, PA 19004 Professional Engineer 2020-02-01 ~ 2021-01-31
Scott M Bauer 55 E. Dartmouth Road, Bala Cynwyd, PA 19004 Professional Engineer 2020-02-01 ~ 2021-01-31
Mina Fatimah Obbehat 127 Colwyn Lane, Bala Cynwyd, PA 19004 Physician/surgeon 2020-01-01 ~ 2020-12-31
Herbert T Caskey Suite 820, Bala Cynwyd, PA 19004 Physician/surgeon 2019-11-01 ~ 2020-10-31
Cheryl A O'brien 600 Righters Ferry Road #235, Bala Cynwyd, PA 19004 Architect 2019-08-01 ~ 2020-07-31
Lalas Knishes 20 Bala Ave, Bala-cynwyd, PA 19004 Bakery 1997-07-01 ~ 1998-06-30
Shakirah Abdul-haqq 45 E.city Ave.#309, Bala Cynwyd, PA 19004 Registered Nurse - Temporary 2015-11-09 ~ 2016-03-07
Dietmar Kohler · Dngvtsky Khlr Assocs Inc 37 Derwen Rd, Bela Cynwyd, PA 19004 Professional Engineer 1800-12-27 ~ 1991-01-31
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Competitor

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City Bala Cynwyd
Zip Code 19004
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bala Cynwyd

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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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