GLEN D SEIDMAN MD
Physician/surgeon


Address: 65 Kane St, W Hartford, CT 06119

GLEN D SEIDMAN MD (Credential# 550555) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 14, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.

Business Overview

GLEN D SEIDMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032956. The credential type is physician/surgeon. The effective date is March 14, 1996. The expiration date is April 30, 1997. The business address is 65 Kane St, W Hartford, CT 06119. The current status is inactive.

Basic Information

Licensee Name GLEN D SEIDMAN MD
Credential ID 550555
Credential Number 1.032956
Credential Type Physician/Surgeon
Business Address 65 Kane St
W Hartford
CT 06119
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-05-14
Effective Date 1996-03-14
Expiration Date 1997-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
163063 CSP.0021059 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 65 KANE ST
City W HARTFORD
State CT
Zip Code 06119

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Competitor

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City W HARTFORD
Zip Code 06119
License Type Physician/Surgeon
License Type + County Physician/Surgeon + W HARTFORD

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Raymond G Haddad 5000 Harvest Glen Court, Glen Allen, VA 23059 Physician/surgeon 2011-07-01 ~ 2012-06-30
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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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