JACK B DAVIDOFF
Physician/surgeon


Address: 24 Keeny Road, Lyme, CT 06371

JACK B DAVIDOFF (Credential# 549117) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 23, 1992. The license expiration date date is December 31, 1992. The license status is INACTIVE.

Business Overview

JACK B DAVIDOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031366. The credential type is physician/surgeon. The effective date is January 23, 1992. The expiration date is December 31, 1992. The business address is 24 Keeny Road, Lyme, CT 06371. The current status is inactive.

Basic Information

Licensee Name JACK B DAVIDOFF
Credential ID 549117
Credential Number 1.031366
Credential Type Physician/Surgeon
Business Address 24 Keeny Road
Lyme
CT 06371
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-02-22
Effective Date 1992-01-23
Expiration Date 1992-12-31
Refresh Date 2009-07-08

Office Location

Street Address 24 KEENY ROAD
City LYME
State CT
Zip Code 06371

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
E Russell Learned 82 Norwich-salem Rd, Lyme, CT 06371 Architect 2020-08-01 ~ 2021-07-31
Joann M Reis 75 Swan Ave, Old Lyme, CT 06371 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele K Griswold 7 Osprey Road, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Brenda A Moriarty 53 Brown's Lane, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Olaf J Ogland 17 Jericho Drive, Old Lyme, CT 06371 Physician/surgeon 2020-08-01 ~ 2021-07-31
Anne Burns 60 Saltaire Drive, Old Lyme, CT 06371 Registered Nurse 2020-08-01 ~ 2021-07-31
Lori A Volles 67 Sterling Hill Rd, Lyme, CT 06371 Physician/surgeon 2020-07-01 ~ 2021-06-30
Derek J Lachance 7 Sunset Drive, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Vincenzo Jerome Marafito 14-1 Bailey Rd, Old Lyme, CT 06371 Master's Level Social Worker ~
All Pro Automotive 147 Boston Post Rd, Old Lyme, CT 06371 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City LYME
Zip Code 06371
License Type Physician/Surgeon
License Type + County Physician/Surgeon + LYME

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Davidoff Extra Connecticut Brand Registration, Hartford, CT 06106 Liquor Brand Label 2001-03-08 ~ 2004-03-07
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Jack W Snyder Md 104 Hilary Cir, Fairfield, CT 06432 Physician/surgeon 2003-08-04 ~ 2004-07-31
Jack L Baldasar 220 Oxford Dr, Tenafly, NJ 07670-3118 Physician/surgeon 2015-09-01 ~ 2016-08-31
Jack Hajjar Md 169 South Rd, Farmington, CT 06032 Physician/surgeon 2001-05-08 ~ 2002-06-30
Jack M Dodick 535 Park Ave, New York, NY 10021 Physician/surgeon 2018-04-26 ~ 2019-03-31
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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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