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.
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.
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 |
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 |
Street Address | 8 STEVENSON CRESCENT |
City | POOLE DORSET |
Zip Code | BH14 9NU |
City | POOLE DORSET |
Zip Code | BH14 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + POOLE DORSET |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carl C Conrad | 21 Palmer Rd, Colchester, CT 06415 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Arthur Taub | 30 Conrad Dr, New Haven, CT 06515-2408 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Cynthia D Conrad | 9 Wingate Rd, Guilford, CT 06437-3726 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Judith A Stein | 146 Conrad Drive, New Haven, CT 06515 | Physician/surgeon | 1987-06-25 ~ 1988-05-31 |
Kathryn A Minehan | 106 Conrad Drive, New Haven, CT 06515 | Physician/surgeon | 1994-02-18 ~ 1995-02-28 |
William D Conrad Jr | 59 Westwood Road, West Hartford, CT 06117 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Conrad P Ehrlich | 3100 S Ocean Blvd, Palm Beach, FL 33480 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Conrad G Eichorn | 12 Meridian St, Pequabuck, CT 06781 | Home Improvement Contractor | ~ 1995-08-01 |
Dean Conrad | 95 Deer Run Dr, Colchester, CT 06415 | Home Improvement Contractor | ~ 1995-08-01 |
Conrad Chaffee · Conrad Chaffee Home Improvements | 20 Mill Road, Dudley, MA 01571 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
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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).