THOMAS C LONG (Credential# 563663) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
THOMAS C LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046081. The credential type is physician/surgeon. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 51 W. Mandhank Road, S. Barrington, IL 60010. The current status is inactive.
Licensee Name | THOMAS C LONG |
Credential ID | 563663 |
Credential Number | 1.046081 |
Credential Type | Physician/Surgeon |
Business Address |
51 W. Mandhank Road S. Barrington IL 60010 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-12-17 |
Effective Date | 2012-08-01 |
Expiration Date | 2013-07-31 |
Refresh Date | 2013-11-06 |
Street Address | 51 W. Mandhank Road |
City | S. Barrington |
State | IL |
Zip Code | 60010 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brian N Reno | 1175 South Summit, Barrington, IL 60010 | Architect | 2020-08-01 ~ 2021-07-31 |
Kirsten Erin Macgregor | Floor 5, Buffalo Grove, IL 60010 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
Mahjabeen Majeed | 24 Wood Oaks Drive, South Barrington, IL 60010 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Annette T Holzknecht | 148 N. Raymond Ave., Barrington, IL 60010 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Mary Lynn White-hensel | 6 Stone Ridge Drive, South Barrington, IL 60010 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Hiba Z Cheetany | 14 West Penny Rd, South Barrington, IL 60010 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Eton Pharmaceuticals, Inc. | 21925 W Field Parkway, Deer Park, IL 60010 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-09-26 ~ |
Grazyna Kostecki | 523 Lake Shore Drive North, Barrington, IL 60010 | Pharmacist | 2016-05-20 ~ 2018-01-31 |
Jeffrey R Borst | 18 Executive Court, Barrington, IL 60010 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
James Bradley Beers | 23190 Enclave Lane, Barrington, IL 60010 | Architect | ~ |
Find all Licenses in zip 60010 |
City | S. Barrington |
Zip Code | 60010 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + S. Barrington |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas Ashley Md | 120 Long Ridge Rd, Stamford, CT 06902-1839 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
Wenru Song | 213 Long Wharf Rd, Mystic, CT 06355 | Physician/surgeon | ~ |
Richard A Reutter | 307 Third Ave, Long Branch, NJ 07740 | Physician/surgeon | 2008-11-24 ~ 2009-10-31 |
Andrew Long | 10 Eastbrook Ln, Pittsfield, MA 01201-9121 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Young S Cho | Long Close Rd, Stamford, CT 06902 | Physician/surgeon | 1993-05-25 ~ 1994-02-28 |
Eric Han | 725 Long Hill Rd, Guilford, CT 06437-1823 | Physician/surgeon | 2020-05-06 ~ 2021-05-31 |
Ken Yanagisawa | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Suyang Hao | 9 Long Drive, Westborough, MA 01581 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Shaik Ejazuddin Md | 331 Third Ave, Long Branch, NJ 07740 | Physician/surgeon | ~ 1997-05-31 |
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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).