SANFORD BLANK (Credential# 544190) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.
SANFORD BLANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022580. The credential type is physician/surgeon. The effective date is June 28, 2004. The expiration date is June 30, 2005. The business address is Po Box 387, Fishers Island, NY 06390. The current status is inactive.
| Licensee Name | SANFORD BLANK |
| Credential ID | 544190 |
| Credential Number | 1.022580 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 387 Fishers Island NY 06390 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1981-01-26 |
| Effective Date | 2004-06-28 |
| Expiration Date | 2005-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | PO BOX 387 |
| City | FISHERS ISLAND |
| State | NY |
| Zip Code | 06390 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sam Fitzgerald Architect P C | 1420 Gloaming, Fishers Island, NY 06390 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Cathy M Brainard | 126 Noble Hill Rd, Oakdale, CT 06390 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Sherry D Skinner · Ryan | P O Box 713, Fishers Island, NY 06390 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Liza Ortiz | Crescent Way, Fishers Island, NY 06390 | Notary Public Appointment | 2003-09-22 ~ 2008-09-30 |
| Jessica Morgan Hall | 451 Whistler Avenue #311, Fishers Island, NY 06390 | Emergency Medical Responder | 2016-10-04 ~ 2019-06-30 |
| Dianna L Shillo · Miler | 1400 Mansion House Drive, Fisher Island, NY 06390 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Marilyn Conroy | 203 Peters Way P.o. Box 37, Fishers Island, NY 06390 | Tax Preparer/facilitator Permit | 2018-10-25 ~ 2020-10-31 |
| Joseph D Hirschfeld | Montauk Ave, Fishers Island, NY 06390 | Plumbing & Piping Unlimited Contractor | 2013-11-01 ~ 2014-10-31 |
| Sara R Mclean | P.o. Box 606, Fishers Island, NY 06390 | Emergency Medical Technician | 2008-12-22 ~ 2012-04-01 |
| Sara D Rafferty | P.o. Box 393, Fishers Island, NY 06390 | Emergency Medical Technician | 2011-04-02 ~ 2011-04-01 |
| Find all Licenses in zip 06390 | |||
| City | FISHERS ISLAND |
| Zip Code | 06390 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FISHERS ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wesley S Blank | 5 Little Kings Ln., Rye Brook, NY 10573 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Samuel Blank | 73 Soundview Ave, Madison, CT 06443 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
| Neal S. Blank | 19700 Greenside Ter, Gaithersburg, MD 20886-1919 | Physician/surgeon | 1986-07-18 ~ 1987-12-31 |
| Peter B Blank Do | 150 N Finley Ave, Basking Ridge, NJ 07920 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jesen C S Fan Md | 49 Sanford Rd, Woodbury, CT 06798 | Physician/surgeon | 2001-02-20 ~ 2002-04-30 |
| Point Blank Beverage Inc | 10911 Whearlands Road Suite E, Santee, CA 92071 | Out of State Shipper Beer | 2006-06-29 ~ 2007-06-28 |
| Marc A Hurzeler | 24 Mt Sanford Rd, Cheshire, CT 06410 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
| Roland E Baker | 78 Milton Ave., Sanford, ME 04073 | Physician/surgeon | 2007-06-13 ~ 2008-06-30 |
| Sanford H Benjamin | 23 Hoyt St, Stamford, CT 06905 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Jeffrey T Hal | 500 Westover Dr #87631, Sanford, NC 27330 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on SANFORD BLANK.
| 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).