ROBERT W HAGEBAK (Credential# 551418) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 31, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
ROBERT W HAGEBAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033819. The credential type is physician/surgeon. The effective date is January 31, 2005. The expiration date is March 31, 2006. The business address is P.o. Box 4056, Vail, CO 81658. The current status is inactive.
| Licensee Name | ROBERT W HAGEBAK |
| Credential ID | 551418 |
| Credential Number | 1.033819 |
| Credential Type | Physician/Surgeon |
| Business Address |
P.o. Box 4056 Vail CO 81658 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-06-24 |
| Effective Date | 2005-01-31 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161099 | CSP.0022396 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | P.O. Box 4056 |
| City | Vail |
| State | CO |
| Zip Code | 81658 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lois A Jacobs | Box 1545, Vail, CO 81658 | Advanced Practice Registered Nurse | 2003-06-25 ~ 2004-08-31 |
| Monica K Mccarroll | Po Box 2423, Vail, CO 81658 | Physical Therapist | 1998-10-19 ~ 1999-07-31 |
| Kimberlee L Schneider | P O Box 3610, Vail, CO 81658 | Hairdresser/cosmetician | 1994-03-16 ~ 1995-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richalyn Gae Renfro | 649 E Pima Meadows Drive, Vail, AZ 85641 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| James L Kasierski | 10111 S Tea Wagon Way, Vail, AZ 85641 | Land Surveyor | 2014-02-01 ~ 2015-01-31 |
| Michael James Talbot | 585 E Pima Meadows Dr, Vail, AZ 85641-2416 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Steadman Philippon Research Institute | 181 W Meadow Dr Ste 1000, Vail, CO 81657-5889 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Sherry Dianne Dekeyser | 13829 E Poelstra St, Vail, AZ 85641-5921 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Ana Maria C Yap · Corvera | 1433 N Darlene Pl, Vail, AZ 85641-8888 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Joseph A Everett | 572 E Sterling Canyon Drive, Vail, AZ 85641 | Dentist | 2018-05-01 ~ 2019-04-30 |
| Stephen L Marinone | 9255 E Sycamore Springs Trl, Vail, AZ 85641-6450 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Bravo Colorado At Beaver Creek-vail Inc · Bravo Vail Valley Music Festival Bravo Vail Bravo Vail Music Festival | 2271 N Frontage Rd W Ste C, Vail, CO 81657-3920 | Public Charity | 2019-09-01 ~ 2020-08-31 |
| Robert J Welch | 20140 South Sonoita Hwy, Vail, AZ 85641 | Professional Engineer | 2017-03-23 ~ 2018-01-31 |
| Find all Licenses in Vail | |||
| City | Vail |
| Zip Code | 81658 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Vail |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert Koenekoop | Westmount, QC H37 2W4 | Physician/surgeon | 2007-10-05 ~ 2008-10-31 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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| 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).