JACK W SNYDER MD
Physician/surgeon


Address: 104 Hilary Cir, Fairfield, CT 06432

JACK W SNYDER MD (Credential# 556600) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 4, 2003. The license expiration date date is July 31, 2004. The license status is INACTIVE.

Business Overview

JACK W SNYDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039012. The credential type is physician/surgeon. The effective date is August 4, 2003. The expiration date is July 31, 2004. The business address is 104 Hilary Cir, Fairfield, CT 06432. The current status is inactive.

Basic Information

Licensee Name JACK W SNYDER MD
Credential ID 556600
Credential Number 1.039012
Credential Type Physician/Surgeon
Business Address 104 Hilary Cir
Fairfield
CT 06432
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-09-19
Effective Date 2003-08-04
Expiration Date 2004-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
286311 CSP.0031234 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-03-20 - 2004-02-28 INACTIVE

Office Location

Street Address 104 HILARY CIR
City FAIRFIELD
State CT
Zip Code 06432

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Gene J Lupo 55 Lisbon Dr., Fairfield, CT 06432 Sub-surface Sewage Installer 2020-02-01 ~ 2021-01-31
Arlene H Black · Szilagyi 97 Tuller Road, Fairfield, CT 06432 Radiographer 2020-04-01 ~ 2021-03-31
Linda M Ludwig 81 Valley Circle, Fairfield, CT 06432 Psychologist 2020-04-01 ~ 2021-03-31
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Competitor

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City FAIRFIELD
Zip Code 06432
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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Travis G Snyder Md 1184 Chapel St Unit 4, New Haven, CT 06511 Physician/surgeon 2006-03-27 ~ 2007-03-31
Robert Snyder 1437 Bryden Drive, Akron, OH 44313 Physician/surgeon 2000-04-13 ~ 2001-02-28
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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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