WILLIAM F BAHNSON
Physician/surgeon


Address: Box 187, Greenfield, MA 01302

WILLIAM F BAHNSON (Credential# 546210) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 24, 1990. The license expiration date date is August 28, 1990. The license status is INACTIVE.

Business Overview

WILLIAM F BAHNSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026834. The credential type is physician/surgeon. The effective date is January 24, 1990. The expiration date is August 28, 1990. The business address is Box 187, Greenfield, MA 01302. The current status is inactive.

Basic Information

Licensee Name WILLIAM F BAHNSON
Credential ID 546210
Credential Number 1.026834
Credential Type Physician/Surgeon
Business Address Box 187
Greenfield
MA 01302
Business Type INDIVIDUAL
Status INACTIVE - REVOKED
Issue Date 1985-10-17
Effective Date 1990-01-24
Expiration Date 1990-08-28
Refresh Date 2009-07-08

Office Location

Street Address BOX 187
City GREENFIELD
State MA
Zip Code 01302

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Lauren Scott 112 Leyden Rd, Greenfield, MA 01301-9512 Radiographer 2020-07-01 ~ 2021-06-30
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Cynthia S Jacelon 73 Madison Circle, Greenfield, MA 01301 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City GREENFIELD
Zip Code 01302
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GREENFIELD

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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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