CONRAD WITTRAM
Physician/surgeon


Address: 8 Stevenson Crescent, Poole Dorset, BH14 9NU

CONRAD WITTRAM (Credential# 563230) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.

Business Overview

CONRAD WITTRAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045648. The credential type is physician/surgeon. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 8 Stevenson Crescent, Poole Dorset, BH14 9NU. The current status is inactive.

Basic Information

Licensee Name CONRAD WITTRAM
Credential ID 563230
Credential Number 1.045648
Credential Type Physician/Surgeon
Business Address 8 Stevenson Crescent
Poole Dorset
BH14 9NU
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-07-11
Effective Date 2014-05-01
Expiration Date 2015-04-30
Refresh Date 2016-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
481756 CSP.0042583 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-12 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 8 STEVENSON CRESCENT
City POOLE DORSET
Zip Code BH14 9NU

Competitor

Search similar business entities

City POOLE DORSET
Zip Code BH14
License Type Physician/Surgeon
License Type + County Physician/Surgeon + POOLE DORSET

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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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