FREDERICK BLOOM (Credential# 700395) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2009. The license expiration date date is April 30, 2010. The license status is INACTIVE.
FREDERICK BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.004358. The credential type is dentist. The effective date is April 1, 2009. The expiration date is April 30, 2010. The business address is 60 Amity Place, Amherst, MA 01002. The current status is inactive.
| Licensee Name | FREDERICK BLOOM |
| Credential ID | 700395 |
| Credential Number | 2.004358 |
| Credential Type | Dentist |
| Business Address |
60 Amity Place Amherst MA 01002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1971-07-15 |
| Effective Date | 2009-04-01 |
| Expiration Date | 2010-04-30 |
| Refresh Date | 2010-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151756 | CSP.0008841 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 60 Amity Place |
| City | Amherst |
| State | MA |
| Zip Code | 01002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leslie J Matlen | 60 Amity Place, Amherst, MA 01002 | Psychologist | 2007-03-14 ~ 2008-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek Noble | 40 Hulst Rd, Amherst, MA 01002 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joshua I Creaser | 35 Station Rd, Amherst, MA 01002 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Rachel Loeffler | 133 Bay Road, Amherst, MA 01002 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Basil M Zureigat | 142 F Brittany Manor Dr, Amherst, MA 01002 | Registered Nurse | 2020-03-17 ~ 2020-10-31 |
| Amy B Rothenberg | 356 Middle St, Amherts, MA 01002 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Juyoung Kim | 950 N Pleasant St, Amherst, MA 01002 | Chiropractor | ~ |
| Todd R Holland | 1 Elf Hill Rd, Amherst, MA 01002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ladimer S Nagurney | 73 Blackberry Ln, Amherst, MA 01002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Paul F Breen | 156 Wildflower Dr, Amherst, MA 01002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Skips Outdoor Accents Inc | 1265 Suffield St, Agawam, MA 01002 | Home Improvement Contractor | 2019-12-06 ~ 2020-11-30 |
| Find all Licenses in zip 01002 | |||
| City | Amherst |
| Zip Code | 01002 |
| License Type | Dentist |
| License Type + County | Dentist + Amherst |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchell J Bloom | 2 Washington Square Village, New York, NY 10012 | Dentist | 2017-11-01 ~ 2018-10-31 |
| Brenda Bloom · Bloom | 23 Nantucket Pl, Manhattan Beach, CA 90266-7230 | Dental Hygienist | 2002-09-30 ~ 2003-10-31 |
| Marjorie E Bloom · Bloom | 132 Beekman Drive, Agawam, MA 01001 | Licensed Clinical Social Worker | 2010-08-01 ~ 2011-07-31 |
| Bloom Homes LLC | 84 Indian Trail, New Milford, CT 06776 | New Home Construction Contractor | 2001-10-01 ~ 2003-09-30 |
| Bloom | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-01-10 ~ 2022-01-09 |
| Norm Bloom and Son | 7 Edgewater Pl, Norwalk, CT 06855-2309 | Food Manufacturing Establishment | 2018-08-22 ~ 2019-06-30 |
| Bloom Construction | 34 Claudia Dr, Southington, CT 06489 | Home Improvement Contractor | 2003-07-14 ~ 2003-11-30 |
| Bloom London Dry Gin | CT | Liquor Brand Label | 2019-08-01 ~ 2022-07-31 |
| Frederick Tye | 720 Green Bay Rd Unit 3c, Winnetka, IL 60093-1941 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Frederick Spaulding | 14 Myrtle St, Manchester, CT 06040 | Dentist | 2005-07-29 ~ 2006-07-31 |
Please comment or provide details below to improve the information on FREDERICK BLOOM.
| 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).