JACQUES A BOLLEKENS
Physician/surgeon


Address: 8 Van Gamerenlei, Brasschaat, 2930

JACQUES A BOLLEKENS (Credential# 550157) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 7, 1996. The license expiration date date is July 31, 1997. The license status is INACTIVE.

Business Overview

JACQUES A BOLLEKENS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032552. The credential type is physician/surgeon. The effective date is October 7, 1996. The expiration date is July 31, 1997. The business address is 8 Van Gamerenlei, Brasschaat, 2930. The current status is inactive.

Basic Information

Licensee Name JACQUES A BOLLEKENS
Credential ID 550157
Credential Number 1.032552
Credential Type Physician/Surgeon
Business Address 8 Van Gamerenlei
Brasschaat
2930
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-08-21
Effective Date 1996-10-07
Expiration Date 1997-07-31
Refresh Date 2009-07-08

Office Location

Street Address 8 VAN GAMERENLEI
City BRASSCHAAT
Zip Code 2930

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Liliana B Pellicci Vriesedonklei 28, Brasschaat, BE B2930 Physician/surgeon 2019-08-01 ~ 2020-07-31

Competitor

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City BRASSCHAAT
Zip Code 2930
License Type Physician/Surgeon
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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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