SIEGFRIED ROTMENSCH
Physician/surgeon


Address: 5255 North Glenwood, Chicago, IL 60640

SIEGFRIED ROTMENSCH (Credential# 548160) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.

Business Overview

SIEGFRIED ROTMENSCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030001. The credential type is physician/surgeon. The effective date is July 10, 2006. The expiration date is April 30, 2007. The business address is 5255 North Glenwood, Chicago, IL 60640. The current status is inactive.

Basic Information

Licensee Name SIEGFRIED ROTMENSCH
Credential ID 548160
Credential Number 1.030001
Credential Type Physician/Surgeon
Business Address 5255 North Glenwood
Chicago
IL 60640
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1989-06-02
Effective Date 2006-07-10
Expiration Date 2007-04-30
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
160961 CSP.0017647 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-04-07 - 1995-04-01 INACTIVE

Office Location

Street Address 5255 NORTH GLENWOOD
City CHICAGO
State IL
Zip Code 60640

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City CHICAGO
Zip Code 60640
License Type Physician/Surgeon
License Type + County Physician/Surgeon + CHICAGO

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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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