CLAUDE E FORKNER JR
Physician/surgeon


Address: 10801 E Happy Valley, Scottsdale, AZ 85255

CLAUDE E FORKNER JR (Credential# 539539) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 11, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.

Business Overview

CLAUDE E FORKNER JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009793. The credential type is physician/surgeon. The effective date is July 11, 1997. The expiration date is July 31, 1998. The business address is 10801 E Happy Valley, Scottsdale, AZ 85255. The current status is inactive.

Basic Information

Licensee Name CLAUDE E FORKNER JR
Credential ID 539539
Credential Number 1.009793
Credential Type Physician/Surgeon
Business Address 10801 E Happy Valley
Scottsdale
AZ 85255
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1960-02-08
Effective Date 1997-07-11
Expiration Date 1998-07-31
Refresh Date 2009-07-08

Other locations

Licensee Name Office Address Credential Effective / Expiration
Claude E Forkner Jr 20 Kirk Rd, W Cornwall, CT 06796 Controlled Substance Registration for Practitioner 1993-08-17 ~ 1995-09-01

Office Location

Street Address 10801 E HAPPY VALLEY
City SCOTTSDALE
State AZ
Zip Code 85255

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Cherie Despathy Licamele 17339 N 99th Place, Scottsdale, AZ 85255 Pharmacy Technician 2018-04-01 ~ 2019-03-31
John D Robinson Jr 11806 E Parkview Ln, Scottsdale, AZ 85255 Professional Engineer 2020-02-01 ~ 2021-01-31
Barbara S Allen 9464 East Heritage Trail Dr, Scottsdale, AZ 85255 Registered Nurse 2019-12-01 ~ 2020-11-30
David S Gortler 22210 North 79th Place, Scottsdale, AZ 85255 Pharmacist 2020-02-01 ~ 2022-01-31
Angela Marie Romano 8701 E. Hartford Drive, Scottsdale, AZ 85255 Hairdresser/cosmetician 2017-08-01 ~ 2019-07-31
Cheryl Marie Rubbelke 7818 E Camino Vivaz, Scottsdale, AZ 85255 Registered Nurse 2018-11-08 ~ 2019-05-31
Marc Beder 20801 North 90th Place #253, Scottsdale, AZ 85255 Real Estate Salesperson 2002-06-01 ~ 2003-05-31
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Competitor

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City SCOTTSDALE
Zip Code 85255
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SCOTTSDALE

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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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