LAWRENCE SHINBAUM MD
Physician/surgeon


Address: 343 Rolling Hills Dr, Fairfield, CT 06824

LAWRENCE SHINBAUM MD (Credential# 558310) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

LAWRENCE SHINBAUM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040727. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 343 Rolling Hills Dr, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name LAWRENCE SHINBAUM MD
Credential ID 558310
Credential Number 1.040727
Credential Type Physician/Surgeon
Business Address 343 Rolling Hills Dr
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-08-01
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-18

Other licenses

ID Credential Code Credential Type Issue Term Status
331966 CSP.0033219 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2003-02-20 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 343 ROLLING HILLS DR
City FAIRFIELD
State CT
Zip Code 06824

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Amy S Van Buren 11 Larkspur Road, Fairfield, CT 06824 Massage Therapist 2020-08-01 ~ 2022-07-31
Linda J Batchelder 72 Ruane St, Fairfield, CT 06824 Architect 2020-08-01 ~ 2021-07-31
Fairfield American Little League 87 Charles St, Fairfield, CT 06824 Public Charity 2020-12-01 ~ 2021-11-30
Robert D Sickeler 175 Wakeman Rd, Fairfield, CT 06824 Architect 2020-08-01 ~ 2021-07-31
Michael P Brennan 338 Sturges Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Maria A Arduini 499 Hemlock Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Ryan L Antisdale 104 Rhoda Avenue, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Szymlinska Eva Jucelin 105 Churchill Street, Fairfield, CT 06824 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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