LINCOLN K PAO (Credential# 905631) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.
LINCOLN K PAO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048895. The credential type is physician/surgeon. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 140 S Bedford Rd, Chappaqua, NY 10514-3400. The current status is inactive.
| Licensee Name | LINCOLN K PAO |
| Credential ID | 905631 |
| Credential Number | 1.048895 |
| Credential Type | Physician/Surgeon |
| Business Address |
140 S Bedford Rd Chappaqua NY 10514-3400 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-06-15 |
| Effective Date | 2010-11-01 |
| Expiration Date | 2011-10-31 |
| Refresh Date | 2012-02-08 |
| Street Address | 140 S BEDFORD RD |
| City | CHAPPAQUA |
| State | NY |
| Zip Code | 10514-3400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James David Shorser | 480 Bedford Road Suite 4202, Chappaqua, NY 10514 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sheryl Manasse | 5 Walden Hill, Chappaqua, NY 10514 | Master's Level Social Worker | 2020-08-01 ~ 2021-07-31 |
| Ross A Cole Briskman | 26 Douglas Rd, Chappaqua, NY 10514 | Architect | 2020-08-01 ~ 2021-07-31 |
| Eric M Dorsch | 37 Aldridge Road, Chappaqua, NY 10514 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lauren R Safran | 6 Chappaqua Mountain Road, Chappaqua, NY 10514 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Stacy Weinberg | 75 High Way, Chappaqua, NY 10514 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rita H Stern | Raveis 75 N Greeley Ave, Chappaqua, NY 10514 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Samuel Goldfarb | 2 Sunset Drive North, Chappaqua, NY 10514 | Notary Public Appointment | 2015-05-29 ~ 2020-05-31 |
| John Panzone | 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 | Physician/surgeon | ~ |
| Boris Usherenko | 480 Bedford Road, Chappaqua, NY 10514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10514 | |||
| City | CHAPPAQUA |
| Zip Code | 10514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHAPPAQUA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chi-kuang Lai | 5 Lord Fox Run, Lincoln, RI 02865 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
| Uzma Malik | 10 Lincoln Ave, Rye Brook, NY 10573 | Physician/surgeon | ~ |
| Eric J Sax | 9 Old Sudbury Rd, Lincoln, MA 01773-4807 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Nicholas Mota | 19 Seneca Ave Apt A, Lincoln Park, NJ 07035 | Physician/surgeon | ~ |
| Gerald Lieberman | 975 Lincoln St, Denver, CO 80203-2725 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Martin J Kafina | 5 Giles Rd, Lincoln, MA 01773 | Physician/surgeon | 1997-03-31 ~ 1998-04-30 |
| Glenn A Meltzer | 33 Lincoln St, Worcester, MA 01605 | Physician/surgeon | 1998-05-11 ~ 1999-05-31 |
| Sean Lawler Md | 1 Rockridge Rd, Lincoln, RI 02865-2802 | Physician/surgeon | 1998-10-23 ~ 1999-11-30 |
| Harry A Parlato | 71 Lincoln St, Kensington, CT 06037 | Physician/surgeon | 2002-02-20 ~ 2003-04-30 |
Please comment or provide details below to improve the information on LINCOLN K PAO.
| 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).