EDWARD WASSERMAN
Physician/surgeon


Address: 25 Harwich Rd, Fairfield, CT 06825

EDWARD WASSERMAN (Credential# 538708) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2007. The license expiration date date is May 31, 2008. The license status is INACTIVE.

Business Overview

EDWARD WASSERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006636. The credential type is physician/surgeon. The effective date is March 26, 2007. The expiration date is May 31, 2008. The business address is 25 Harwich Rd, Fairfield, CT 06825. The current status is inactive.

Basic Information

Licensee Name EDWARD WASSERMAN
Credential ID 538708
Credential Number 1.006636
Credential Type Physician/Surgeon
Business Address 25 Harwich Rd
Fairfield
CT 06825
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1951-03-16
Effective Date 2007-03-26
Expiration Date 2008-05-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
153755 CSP.0002360 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 25 HARWICH RD
City FAIRFIELD
State CT
Zip Code 06825

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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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Diana Ruth Wasserman 784 E Main St, Branford, CT 06405-2918 Physician/surgeon 1983-04-18 ~ 1991-11-30
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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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