ROLF J KOENKER
Physician/surgeon


Address: 1760 Termino Ave, Long Beach, CA 90804

ROLF J KOENKER (Credential# 539350) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 25, 1993. The license expiration date date is February 28, 1994. The license status is INACTIVE.

Business Overview

ROLF J KOENKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009070. The credential type is physician/surgeon. The effective date is February 25, 1993. The expiration date is February 28, 1994. The business address is 1760 Termino Ave, Long Beach, CA 90804. The current status is inactive.

Basic Information

Licensee Name ROLF J KOENKER
Credential ID 539350
Credential Number 1.009070
Credential Type Physician/Surgeon
Business Address 1760 Termino Ave
Long Beach
CA 90804
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1958-09-08
Effective Date 1993-02-25
Expiration Date 1994-02-28
Refresh Date 2009-07-08

Office Location

Street Address 1760 TERMINO AVE
City LONG BEACH
State CA
Zip Code 90804

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Marilyn K Marshman 2621 E 20th St #5, Signal Hill, CA 90804 Registered Nurse 1995-10-23 ~ 1996-11-30
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Brenda D Mireles 8110 E Timor St, Long Beach, CA 90808-3337 Registered Nurse 2020-07-01 ~ 2021-06-30
'merican Mule 150 The Promenade N Unit 425, Long Beach, CA 90802-4755 Out of State Shipper Liquor 2020-04-18 ~ 2021-04-17
Mariana Sapir 340 E Olive St, Long Beach, NY 11561-3616 Dentist 2020-05-01 ~ 2021-04-30
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City LONG BEACH
Zip Code 90804
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LONG BEACH

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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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