STEPHEN S FALKENBERRY
Physician/surgeon


Address: 54 Division Street, East Greenwich, RI 02818

STEPHEN S FALKENBERRY (Credential# 552793) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 27, 2000. The license expiration date date is March 31, 2001. The license status is INACTIVE.

Business Overview

STEPHEN S FALKENBERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035200. The credential type is physician/surgeon. The effective date is January 27, 2000. The expiration date is March 31, 2001. The business address is 54 Division Street, East Greenwich, RI 02818. The current status is inactive.

Basic Information

Licensee Name STEPHEN S FALKENBERRY
Credential ID 552793
Credential Number 1.035200
Credential Type Physician/Surgeon
Business Address 54 Division Street
East Greenwich
RI 02818
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-04-19
Effective Date 2000-01-27
Expiration Date 2001-03-31
Refresh Date 2009-07-08

Office Location

Street Address 54 DIVISION STREET
City EAST GREENWICH
State RI
Zip Code 02818

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David Candow Md 1 Juniper Dr, East Greenwich, RI 02818 Physician/surgeon 2020-05-01 ~ 2021-04-30
Katherine Nicastri · Chrostowski 25 Bow St, East Greenwich, RI 02818 Registered Nurse 2020-04-01 ~ 2021-03-31
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Competitor

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City EAST GREENWICH
Zip Code 02818
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST GREENWICH

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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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