ELISHA D WALDMAN
Physician/surgeon


Address: 94 Appleton Street, Apt. 3, Boston, MA 02116

ELISHA D WALDMAN (Credential# 561387) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2011. The license expiration date date is April 30, 2012. The license status is INACTIVE.

Business Overview

ELISHA D WALDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043805. The credential type is physician/surgeon. The effective date is May 1, 2011. The expiration date is April 30, 2012. The business address is 94 Appleton Street, Apt. 3, Boston, MA 02116. The current status is inactive.

Basic Information

Licensee Name ELISHA D WALDMAN
Credential ID 561387
Credential Number 1.043805
Credential Type Physician/Surgeon
Business Address 94 Appleton Street, Apt. 3
Boston
MA 02116
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-13
Effective Date 2011-05-01
Expiration Date 2012-04-30
Refresh Date 2012-08-02

Other licenses

ID Credential Code Credential Type Issue Term Status
417125 CSP.0038367 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-09-22 2006-03-01 - 2007-02-28 INACTIVE

Office Location

Street Address 94 APPLETON STREET, APT. 3
City BOSTON
State MA
Zip Code 02116

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Edward C Maher Jr 134 Beacon St, Boston, MA 02116 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Competitor

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City BOSTON
Zip Code 02116
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BOSTON

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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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