JULIAN LEVINE MD (Credential# 538718) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 6, 1997. The license expiration date date is March 31, 1998. The license status is INACTIVE.
JULIAN LEVINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006731. The credential type is physician/surgeon. The effective date is January 6, 1997. The expiration date is March 31, 1998. The business address is 88 Ridge Park Ave, Stamford, CT 06905. The current status is inactive.
Licensee Name | JULIAN LEVINE MD |
Credential ID | 538718 |
Credential Number | 1.006731 |
Credential Type | Physician/Surgeon |
Business Address |
88 Ridge Park Ave Stamford CT 06905 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1951-07-30 |
Effective Date | 1997-01-06 |
Expiration Date | 1998-03-31 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149841 | CSP.0002514 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
Street Address | 88 RIDGE PARK AVE |
City | STAMFORD |
State | CT |
Zip Code | 06905 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06905 |
City | STAMFORD |
Zip Code | 06905 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julian Cornell | 12 Gansevoort St, Bath, NY 14810-1611 | Physician/surgeon | ~ |
Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Julian Hernandez | Po Box 10370, Holyoke, MA 01041-1970 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Julian Falla | 500 Mill St, Southington, CT 06489 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Julian Offsay Md | 400 Washington St, Hartford, CT 06106 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
Julian A Sachs | 100 Grand St, New Britain, CT 06050 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Julius E Levine | 125 Kohary Dr, New Haven, CT 06515 | Physician/surgeon | 1989-12-19 ~ 1990-08-28 |
Jedd F Levine Md | 84 Prospect St, Litchfield, CT 06759 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).