CHARLES E WOMACK MD (Credential# 558857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 20, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
CHARLES E WOMACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041274. The credential type is physician/surgeon. The effective date is April 20, 2004. The expiration date is March 31, 2005. The business address is Junit 1110/tops'l Beach Manor, Miramar Beach, FL 32550. The current status is inactive.
| Licensee Name | CHARLES E WOMACK MD |
| Credential ID | 558857 |
| Credential Number | 1.041274 |
| Credential Type | Physician/Surgeon |
| Business Address |
Junit 1110/tops'l Beach Manor Miramar Beach FL 32550 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-03-26 |
| Effective Date | 2004-04-20 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 334712 | CSP.0033432 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-04-23 - 2004-02-28 | INACTIVE |
| Street Address | JUNIT 1110/TOPS'L BEACH MANOR |
| City | MIRAMAR BEACH |
| State | FL |
| Zip Code | 32550 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dahlia L Madison | 322 Miramar Beach Drive #6027, Destin, FL 32550 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| L&p Automotive Luxembourg, S.a.r.l. | Calle Enrico Fermi #351, Ciudad Juarez Chihuahua, MX 32550 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Amir Behzad Razavi | 1418 Baytowne Cir E, Miramar Beach, FL 32550-4890 | Controlled Substance Registration for Practitioner | 2019-02-04 ~ 2021-02-28 |
| Gary F Turnier | 9950 Us Highway 98 W, Miramar Beach, FL 32550-4992 | Dentist | 2020-05-01 ~ 2021-04-30 |
| City | MIRAMAR BEACH |
| Zip Code | 32550 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIRAMAR BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
| Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
| Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | Physician/surgeon | ~ |
| Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
| Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
| Charles A Mauriello | P.o Box 570, Villanova, PA 19085 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Charles J Lockwood Md | 230 Ashbourne Rd., Bexley, OH 43209-1453 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Charles Landau Md | 112 Quarry Rd Ste 400, Trumbull, CT 06611 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Charles M Paolino | 206 Kuyper Dr, Nyack, NY 10960-1017 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on CHARLES E WOMACK MD.
| 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).