THOMAS M BLUM (Credential# 546905) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
THOMAS M BLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028001. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 93 Library St., Mystic, CT 06355. The current status is active.
| Licensee Name | THOMAS M BLUM |
| Credential ID | 546905 |
| Credential Number | 1.028001 |
| Credential Type | Physician/Surgeon |
| Business Address |
93 Library St. Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-04-10 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154766 | CSP.0015120 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-04-08 - 2021-02-28 | ACTIVE |
| Street Address | 93 Library st. |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | MYSTIC |
| Zip Code | 06355 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MYSTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S. Blum | 84 Hoyt Ln, Guilford, CT 06437-4329 | Physician/surgeon | 2003-02-10 ~ 2004-03-31 |
| Liran Blum | 15 Riverside Ave, Bristol, CT 06010-6951 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard S Blum | 38 Forest Glen Dr, Woodbridge, CT 06525-1449 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Susan S Blum Md | 34 Rye Ridge Plaza, Rye Brook, NY 10573 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lawrence M Blum Md | 125 Field Point Dr, Fairfield, CT 06824-6374 | Physician/surgeon | 2004-03-09 ~ 2005-04-30 |
| Leslie F Blum | 32 Chestnut Ridge Rd, Armonk, NY 10504 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Michael Lloyd Blum | 7161 Via Firenze, Boca Raton, FL 33433 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joanne Blum-carnevale · Blum-carnevale | 27 Teneycke Hill Rd, N Falmouth, MA 22556 | Advanced Practice Registered Nurse | 2003-01-15 ~ 2004-03-31 |
| Irving M. Blum, Cpa | 25 Third Street, Stamford, CT 06905 | Certified Public Accountant Firm Permit | 2003-01-01 ~ 2003-12-31 |
| Lgc & D, Blum Shapiro, LLC | 29 South Main St., West Hartford, CT 06127 | Certified Public Accountant Firm Permit | 2001-01-01 ~ 2001-12-31 |
Please comment or provide details below to improve the information on THOMAS M BLUM.
| 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).