CLIFFORD S PUKEL (Credential# 1165087) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.
CLIFFORD S PUKEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052238. The credential type is physician/surgeon. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is 2824 Timber Ln, Green Bay, WI 54313-5842. The current status is inactive.
| Licensee Name | CLIFFORD S PUKEL |
| Credential ID | 1165087 |
| Credential Number | 1.052238 |
| Credential Type | Physician/Surgeon |
| Business Address |
2824 Timber Ln Green Bay WI 54313-5842 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-07-16 |
| Effective Date | 2015-12-01 |
| Expiration Date | 2016-11-30 |
| Refresh Date | 2017-03-05 |
| Street Address | 2824 TIMBER LN |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54313-5842 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alive & Kickin' Pizza Crust | 1326 Cornell Rd, Green Bay, WI 54313 | Bakery | 2020-07-01 ~ 2021-06-30 |
| James E Klasen | 2925 Parkwood Dr, Green Bay, WI 54313 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Todd R Olson | 2880 Newcastle Ave, Green Bay, WI 54313 | Professional Engineer | 2008-02-05 ~ 2009-01-31 |
| Daniel J Roarty | 2529 Tulip Ln, Green Bay, WI 54313 | Architect | 2009-08-01 ~ 2010-07-31 |
| Kathy L Campbell | 2059 Winter Cress Dr, Green Bay, WI 54313 | Registered Nurse | ~ 1998-09-30 |
| Joseph H Prokop | 5421 Glendale Ave, Green Bay, WI 54313 | Engineer-in-training | 1995-07-10 ~ 2005-07-10 |
| Connie F Johnson | 2107 Weston Way, Suamico, WI 54313-3702 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Kristin L Lewis | 3194 Renaissance Ln, Green Bay, WI 54313-4372 | Registered Nurse | 2012-04-20 ~ 2012-11-30 |
| Timothy A Weber | 2418 Larue Ln, Green Bay, WI 54313-5799 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Marissa L Mullins | 1455 Avondale Dr, Green Bay, WI 54313-5903 | Registered Nurse | 2014-03-07 ~ 2015-01-31 |
| Find all Licenses in zip 54313 | |||
| City | GREEN BAY |
| Zip Code | 54313 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GREEN BAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clifford Kye | 540 Litchfield St., Torrington, CT 06790 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Clifford J Schwartz | 126 Gary Rd, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Clifford M. Gevirtz | 31 Longledge Dr, Rye Brook, NY 10573-1943 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Clifford B Rosenberg | 81 Coe Street, Winsted, CT 06098 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Clifford J Prestia | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Clifford Berken | 39 Cogswell Ln, Stamford, CT 06902-1322 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Manu C Shekher Md | 33 Clifford Ave, Pelham, NY 10803 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Clifford Berg | 15b Linden Ave, Branford, CT 06405 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Clifford D Barker | 42 Panorama Dr, Warwick, NY 10990-2732 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Clifford B Freling Md | 44 Northgate, Avon, CT 06001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).