LAWRENCE I DECKELBAUM (Credential# 545961) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 27, 1995. The license expiration date date is February 29, 1996. The license status is INACTIVE.
LAWRENCE I DECKELBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026341. The credential type is physician/surgeon. The effective date is January 27, 1995. The expiration date is February 29, 1996. The business address is 911 Merion Square Rd, Gladwyne, PA 19035. The current status is inactive.
| Licensee Name | LAWRENCE I DECKELBAUM |
| Credential ID | 545961 |
| Credential Number | 1.026341 |
| Credential Type | Physician/Surgeon |
| Business Address |
911 Merion Square Rd Gladwyne PA 19035 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1985-05-23 |
| Effective Date | 1995-01-27 |
| Expiration Date | 1996-02-29 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147461 | CSP.0013294 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-05-11 - 1996-02-28 | INACTIVE |
| Street Address | 911 MERION SQUARE RD |
| City | GLADWYNE |
| State | PA |
| Zip Code | 19035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Labella | 612 Mill Creek Rd, Gladwyne, PA 19035 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Benjamin Gerson | 326 Conshohocken State Road, Gladwyne, PA 19035 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Timothy Wayne Lisle | 315 Righters Mill Rd, Gladwynne, PA 19035 | Architect | 2000-03-20 ~ 2000-07-31 |
| Eugene S Pearlman | 710 Dixon Lane, Gladwyne, PA 19035 | Physician/surgeon | 2005-01-10 ~ 2006-01-31 |
| Ana M Salazar | 1208 Waverly Rd, Gladwyne, PA 19035 | Physician/surgeon | 1995-08-24 ~ 1996-08-31 |
| Sheldon H Stein | 968 Idlewild Road, Gladwyne, PA 19035 | Physician/surgeon | 1994-06-30 ~ 1995-04-30 |
| Suzanne Seelaus-kimball | 1522 Monticello Dr., Gladwyne, PA 19035 | Licensed Clinical Social Worker | 2005-07-27 ~ 2006-07-31 |
| Robert G Thompson · Kling | 1210 Mirabeau Lane, Gladwyne, PA 19035 | Architect | 2007-08-01 ~ 2008-07-31 |
| Albert Raymond Hughes IIi · Rcdh & Co | 1208 Limberlost Lane, Gladwyne, PA 19035 | Temporary Certified General Real Estate Appraiser | 2002-06-06 ~ 2002-12-03 |
| Dimitri J Ververelli | 1107 Robin Rd, Gladwyne, PA 19035 | Professional Engineer | 1994-01-24 ~ 1995-01-31 |
| Find all Licenses in zip 19035 | |||
| City | GLADWYNE |
| Zip Code | 19035 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLADWYNE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yuk M Law | 253 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1993-11-30 ~ 1994-12-31 |
| Lawrence M Brass Md | 33 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2005-03-14 ~ 2006-04-30 |
| Lawrence G Lareau | 900 4th Ave, Warren, PA 16365-1888 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Lawrence L Kerns | 124 N Harrisson, Barrington, IL 60010 | Physician/surgeon | ~ |
| Erik Goluboff | 31 Lawrence Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Lawrence N Deweil Do | 38 3rd St, Brooklyn, NY 11231-4852 | Physician/surgeon | 2008-11-17 ~ 2009-09-30 |
| Lawrence Reed | 45 E 85 St, New York, NY 10028 | Physician/surgeon | 1999-02-18 ~ 2000-03-31 |
| Ole Vielemeyer | 70 Lawrence Ave Apt #8, New Haven, CT 06511 | Physician/surgeon | 2003-06-03 ~ 2004-05-31 |
| Lawrence Zweibel | 100 Motor Pkwy Ste 110, Hauppauge, NY 11788-5156 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on LAWRENCE I DECKELBAUM.
| 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).