ROBERT H BIRCHENOUGH (Credential# 545043) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.
ROBERT H BIRCHENOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024553. The credential type is physician/surgeon. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is P.o. Box 95, Cleverdale, NY 12820. The current status is inactive.
| Licensee Name | ROBERT H BIRCHENOUGH |
| Credential ID | 545043 |
| Credential Number | 1.024553 |
| Credential Type | Physician/Surgeon |
| Business Address |
P.o. Box 95 Cleverdale NY 12820 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1983-04-20 |
| Effective Date | 2013-01-01 |
| Expiration Date | 2013-12-31 |
| Refresh Date | 2014-04-05 |
| Street Address | P.O. BOX 95 |
| City | CLEVERDALE |
| State | NY |
| Zip Code | 12820 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel A Keating | 448 Franklin St, Ballston Spa, NY 12820 | Heating, Piping & Cooling Limited Contractor | ~ |
| City | CLEVERDALE |
| Zip Code | 12820 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CLEVERDALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert H Birchenough Md · Windham Community Hospital | Department of Radiology, Willimantic, CT 06226 | Controlled Substance Registration for Practitioner | 1995-06-14 ~ 1996-02-28 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Anna Marie Birchenough | 59 Burning Tree Rd, Greenwich, CT 06830-3505 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert P Conlen | Po Box 447, Farmington, CT 06034-0447 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on ROBERT H BIRCHENOUGH.
| 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).