HENRY E BRANHAM (Credential# 540067) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 21, 1994. The license expiration date date is November 30, 1990. The license status is INACTIVE.
HENRY E BRANHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011638. The credential type is physician/surgeon. The effective date is March 21, 1994. The expiration date is November 30, 1990. The business address is 1409 E Plaza Rd, Winston-salem, NC 27103. The current status is inactive.
| Licensee Name | HENRY E BRANHAM |
| Credential ID | 540067 |
| Credential Number | 1.011638 |
| Credential Type | Physician/Surgeon |
| Business Address |
1409 E Plaza Rd Winston-salem NC 27103 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - PRIOR DISCIPLINE |
| Issue Date | 1964-03-23 |
| Effective Date | 1994-03-21 |
| Expiration Date | 1990-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 1409 E PLAZA RD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Greenleaf Medical Supply LLC | 1409 Plaza West Rd Ste# G, Winston Salem, NC 27103 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Voelkel Corp LLC | 615 St. George Square Court, Ste. 300, Winston Salem, NC 27103 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
| Kyle Gibson Smith | 2931 Woodworth Dr, Winston Salem, NC 27103 | Radiographer | ~ |
| Carol Marie Mabeus | 5012 Wyngate Village Dr, Winston Salem, NC 27103 | Registered Nurse | 2020-01-28 ~ 2020-10-31 |
| Anne Carolyne Tyner | 60 Scott Hollow Drive, Winston Salem, NC 27103 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Adrienne B Ross | 2250 Maple Ridge Lane, Winston Salem, NC 27103 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Elimarie Caballero Qui�ones | 173 Tudor Downs Rd., Winston Salem, NC 27103 | Psychologist | 2019-07-01 ~ 2020-06-30 |
| Virginia Carolina Vo | 131 Charlotte Ct, Winston Salem, NC 27103 | Registered Nurse - Temporary | 2018-05-22 ~ 2018-09-18 |
| Dorothy N Reilly | 2208 Elizabeth Ave, Winston-salem, NC 27103 | Real Estate Broker | 2002-08-06 ~ 2003-03-31 |
| Matthew A Augustine | 2786 Kingsdale Court, Winston-salem, NC 27103 | Pharmacist | 2010-02-01 ~ 2011-01-31 |
| Find all Licenses in zip 27103 | |||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON-SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leander N Branham Md | 701 Old Connecticut Path, Farmington, MA 01701 | Physician/surgeon | 2002-12-13 ~ 2003-12-31 |
| Rob Branham Foundation Inc | 31 Canton Rd, West Simsbury, CT 06092-2806 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Joshua Paul Branham | 560 West 144th Street, New York, NY 10031 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Gwc Branham Rockpile Zinfandel | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2012-10-12 ~ 2015-10-11 |
| Henry M Spinelli | 875 5th Ave, New York, NY 10065-4952 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Henry B Low | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Henry Lee | 760 Saybrook Rd, Middletown, FL 06457 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Henry Lin | 25 Newell Rd Ste C-4, Bristol, CT 06010-5100 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patrick A Robinson | 213 O Henry Ave, Davidson, Nc, NC 28036 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on HENRY E BRANHAM.
| 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).