CHARLES FLACK
Physician/surgeon


Address: Ohs 3rd Fl, San Bernadino, CA 92415

CHARLES FLACK (Credential# 537947) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 23, 1993. The license expiration date date is July 31, 1994. The license status is INACTIVE.

Business Overview

CHARLES FLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000145-DO. The credential type is physician/surgeon. The effective date is September 23, 1993. The expiration date is July 31, 1994. The business address is Ohs 3rd Fl, San Bernadino, CA 92415. The current status is inactive.

Basic Information

Licensee Name CHARLES FLACK
Credential ID 537947
Credential Number 1.000145-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address Ohs 3rd Fl
San Bernadino
CA 92415
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-08-30
Effective Date 1993-09-23
Expiration Date 1994-07-31
Refresh Date 2009-07-08

Office Location

Street Address OHS 3RD FL
City SAN BERNADINO
State CA
Zip Code 92415

Competitor

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City SAN BERNADINO
Zip Code 92415
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SAN BERNADINO

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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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