ELCHANAN M BRUCKHEIMER
Physician/surgeon


Address: C/o Jonathan Gewirtz, New Haven, CT 06515

ELCHANAN M BRUCKHEIMER (Credential# 552841) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 17, 1998. The license expiration date date is January 31, 2000. The license status is INACTIVE.

Business Overview

ELCHANAN M BRUCKHEIMER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035248. The credential type is physician/surgeon. The effective date is December 17, 1998. The expiration date is January 31, 2000. The business address is C/o Jonathan Gewirtz, New Haven, CT 06515. The current status is inactive.

Basic Information

Licensee Name ELCHANAN M BRUCKHEIMER
Credential ID 552841
Credential Number 1.035248
Credential Type Physician/Surgeon
Business Address C/o Jonathan Gewirtz
New Haven
CT 06515
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-05-24
Effective Date 1998-12-17
Expiration Date 2000-01-31
Refresh Date 2009-07-08

Office Location

Street Address C/O JONATHAN GEWIRTZ
City NEW HAVEN
State CT
Zip Code 06515

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City NEW HAVEN
Zip Code 06515
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW HAVEN

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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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