BROOKE E CHEEMA
Physician Assistant


Address: P.o. Box 211 Rt 27, West Southport, ME 04576

BROOKE E CHEEMA (Credential# 742273) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 29, 1996. The license expiration date date is December 31, 1996. The license status is INACTIVE.

Business Overview

BROOKE E CHEEMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000524. The credential type is physician assistant. The effective date is March 29, 1996. The expiration date is December 31, 1996. The business address is P.o. Box 211 Rt 27, West Southport, ME 04576. The current status is inactive.

Basic Information

Licensee Name BROOKE E CHEEMA
Credential ID 742273
Credential Number 23.000524
Credential Type Physician Assistant
Business Address P.o. Box 211 Rt 27
West Southport
ME 04576
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-11-17
Effective Date 1996-03-29
Expiration Date 1996-12-31
Refresh Date 2009-07-08

Office Location

Street Address P.O. BOX 211 RT 27
City WEST SOUTHPORT
State ME
Zip Code 04576

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Michael R Ciccarelli Po Box 149, Southport, ME 04576-0149 Emergency Medical Responder 2018-09-06 ~ 2021-07-01
Joseph J Krulis · Preferred Properties, Inc. Po Box 260, Southport Island, ME 04576-0260 Real Estate Salesperson 2005-06-01 ~ 2006-05-31

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Leon C Gane · Judy P Tibbetts Dogfish Head, West Southport, ME 04596 Real Estate Salesperson 1997-06-03 ~ 1998-05-31

Competitor

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City WEST SOUTHPORT
Zip Code 04576
License Type Physician Assistant
License Type + County Physician Assistant + WEST SOUTHPORT

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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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