JESSE M CEDARBAUM
Physician/surgeon


Address: 16 Old Barnabas Rd, Woodbridge, CT 06525-1923

JESSE M CEDARBAUM (Credential# 1143568) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2018. The license status is INACTIVE.

Business Overview

JESSE M CEDARBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052189. The credential type is physician/surgeon. The effective date is August 1, 2017. The expiration date is July 31, 2018. The business address is 16 Old Barnabas Rd, Woodbridge, CT 06525-1923. The current status is inactive.

Basic Information

Licensee Name JESSE M CEDARBAUM
Credential ID 1143568
Credential Number 1.052189
Credential Type Physician/Surgeon
Business Address 16 Old Barnabas Rd
Woodbridge
CT 06525-1923
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-01
Effective Date 2017-08-01
Expiration Date 2018-07-31
Refresh Date 2018-11-03

Office Location

Street Address 16 OLD BARNABAS RD
City WOODBRIDGE
State CT
Zip Code 06525-1923

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Patricia A Kenyon · Leskow 8 Maple Terrace, Woodbridge, CT 06525 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WOODBRIDGE

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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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