RONALD I BLUMENFELD
Physician/surgeon


Address: 1185 Stillson Road, Fairfield, CT 06824

RONALD I BLUMENFELD (Credential# 542878) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.

Business Overview

RONALD I BLUMENFELD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018765. The credential type is physician/surgeon. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 1185 Stillson Road, Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name RONALD I BLUMENFELD
Credential ID 542878
Credential Number 1.018765
Credential Type Physician/Surgeon
Business Address 1185 Stillson Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-05-03
Effective Date 2010-09-01
Expiration Date 2011-08-31
Refresh Date 2011-12-02

Other licenses

ID Credential Code Credential Type Issue Term Status
151766 CSP.0003996 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 1185 STILLSON ROAD
City FAIRFIELD
State CT
Zip Code 06824

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City FAIRFIELD
Zip Code 06824
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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