FRED DANIEL FUMIA (Credential# 1054348) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 22, 1976. The license expiration date date is August 31, 1987. The license status is INACTIVE.
FRED DANIEL FUMIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018232. The credential type is physician/surgeon. The effective date is September 22, 1976. The expiration date is August 31, 1987. The business address is 1100 S Euclid Ave, Sioux Falls, SD 57105-0411. The current status is inactive.
Licensee Name | FRED DANIEL FUMIA |
Credential ID | 1054348 |
Credential Number | 1.018232 |
Credential Type | Physician/Surgeon |
Business Address |
1100 S Euclid Ave Sioux Falls SD 57105-0411 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1976-09-22 |
Effective Date | 1976-09-22 |
Expiration Date | 1987-08-31 |
Refresh Date | 2012-02-29 |
Street Address | 1100 S EUCLID AVE |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-0411 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katherine R Luecke | 2817 S West Avenue, Sioux Falls, SD 57105 | Registered Nurse | 2016-02-22 ~ 2017-02-28 |
Richard R Robinson | 1204 E 56th St, Sioux Falls, SD 57105 | Architect | 1998-08-01 ~ 1999-07-31 |
Robert C Talley | 1400 W 22nd St, Sioux Falls, SD 57105 | Physician/surgeon | 2007-04-12 ~ 2008-05-31 |
Stephen R Karl | 308 Harpel Drive, Sioux Falls, ND 57105 | Physician/surgeon | 1977-06-29 ~ 1979-12-31 |
Heidi A Ovrelid | 2812 South Garfield, Sioux Falls, SD 57105 | Occupational Therapist | ~ 1997-07-31 |
Toni Reeder | 3818 South Western Ave, Sioux Falls, SD 57105 | Registered Nurse | 2002-04-18 ~ 2003-05-31 |
James E Dill Md | 2601 S Minnesota Dr Suite #105, Sioux Falls, SD 57105 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Stephani S Scheurenbrand | 305 W 25th St, Sioux Falls, SD 57105-1810 | Advanced Practice Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Emma Nykamp | 1617 S 2nd Ave, Sioux Falls, SD 57105-1910 | Emergency Medical Technician | 2017-08-31 ~ 2020-04-01 |
Alyssa N Kroehler | 1808 S Duluth Ave, Sioux Falls, SD 57105-2807 | Registered Nurse - Temporary | 2018-08-24 ~ 2018-12-21 |
Find all Licenses in zip 57105 |
City | SIOUX FALLS |
Zip Code | 57105 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SIOUX FALLS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fred M Cutrer | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2016-12-28 ~ 2017-07-31 |
Fred F Tilden Md | 36 Bainbridge Rd, W Hartford, CT 06119 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Fred S Gorelick | P.o.box 3066, Branford, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Fred J Powell | 35 Townsend Pl, Saint Augustine, FL 32092-1855 | Physician/surgeon | ~ |
Fred Gibson | 260 Knollwood Dr, New Haven, CT 06515-2414 | Physician/surgeon | 2003-03-31 ~ 2004-03-31 |
Fred H Kohanna | 1 Buttonwood Way, Littleton, MA 01460-2244 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Fred Rincon | 1 Becca Way, Allentown, NJ 08501 | Physician/surgeon | 2007-09-10 ~ 2008-05-31 |
Fred L Fishman | 333 Birchwood Ave, Deerfield, IL 60015-4714 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Fred Jean | 2900 Nw 125th Ave Apt 316, Sunrise, FL 33323-6330 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
Fred M.h Ziter Jr | 5 Butternut Circle, Wethersfield, CT 06109 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
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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).