PETER E. BALSAM (Credential# 924650) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license expiration date date is July 31, 1985. The license status is INACTIVE.
PETER E. BALSAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023705. The credential type is physician/surgeon. The expiration date is July 31, 1985. The business address is 3870 Pinetop Blvd, Titusville, FL 32796-3609. The current status is inactive.
| Licensee Name | PETER E. BALSAM |
| Credential ID | 924650 |
| Credential Number | 1.023705 |
| Credential Type | Physician/Surgeon |
| Business Address |
3870 Pinetop Blvd Titusville FL 32796-3609 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-07-08 |
| Expiration Date | 1985-07-31 |
| Refresh Date | 2010-04-15 |
| Street Address | 3870 PINETOP BLVD |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796-3609 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bobby Erran Gipson | 1705 South Eden Circle, Titusville, FL 32796 | Radiographer | 2018-09-01 ~ 2019-08-31 |
| Nelson Carvalho Jr | 1601 Crane Dr., Titusville, FL 32796 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Jean S Thomas-hallett · Jean Moore | 3185 Ellen Drive, Titusville, FL 32796 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Vintage Selections Inc · Vineyard Selections | 3928 Rolling Hill Dr, Titusville, FL 32796-1163 | Out of State Shipper Liquor | 2009-11-18 ~ 2010-09-24 |
| Courtney A Davis | 1604 Fuji Dr, Titusville, FL 32796-2315 | Licensed Practical Nurse | ~ |
| Graham Sego Corporation | 1225 Garden St, Titusville, FL 32796-3310 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherrie Murray | 2414 Talmadge Dr, Titusville, FL 32780-2614 | Registered Nurse - Temporary | 2020-06-03 ~ 2020-10-01 |
| John W. Lacorazza | 1 Tanglewood Drive, Titusville, NJ 08560 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| National Association of Chiefs of Police | 6350 Horizon Dr, Titusville, FL 32780-8002 | Public Charity | 2020-09-01 ~ 2021-08-31 |
| Suzette Kay Foy | 888 Tarr Rd, Titusville, PA 16354-7972 | Registered Nurse - Temporary | 2020-03-16 ~ 2020-07-14 |
| Jerilynn Garrison | 3340 Zaharis Place, Titusville, FL 32780 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Angelina Simpson | 3740 Sawgrass Drive, Titusville, FL 32780 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Judith K Barber | 5940 Dexter Ct., Titusville, FL 32780-7160 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Elizabeth Anne Bonner | 7703 Windover Way, Titusville, FL 32780 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Rosa Lynise West | 1310 Greenwood St., Titusville, FL 32780 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Megan E Dibiase | 26 Independence Way, Titusville, NJ 08560-1523 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Find all Licenses in TITUSVILLE | |||
| City | TITUSVILLE |
| Zip Code | 32796 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TITUSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Jay Balsam | 26 Driftway Rd, Danbury, CT 06811-5102 | Physician/surgeon | 1972-08-11 ~ 1988-06-30 |
| Abdul Basit Md | 5261 Balsam Pl, New Haven, CT 045040 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Peter A Migaly | P.o.box 237, Blairsville, PA 15717-0237 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
| Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
| Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter M Small | P.o. Box 517, Charlestown, RI 02813 | Physician/surgeon | 2008-08-01 ~ 2009-08-31 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
Please comment or provide details below to improve the information on PETER E. BALSAM.
| 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).