JOHN T FAZEKAS
Physician/surgeon


Address: 7689 Waterview Lane, Chestertown, MD 21620

JOHN T FAZEKAS (Credential# 558979) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 30, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

JOHN T FAZEKAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041396. The credential type is physician/surgeon. The effective date is June 30, 2004. The expiration date is July 31, 2005. The business address is 7689 Waterview Lane, Chestertown, MD 21620. The current status is inactive.

Basic Information

Licensee Name JOHN T FAZEKAS
Credential ID 558979
Credential Number 1.041396
Credential Type Physician/Surgeon
Business Address 7689 Waterview Lane
Chestertown
MD 21620
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-04-25
Effective Date 2004-06-30
Expiration Date 2005-07-31
Refresh Date 2009-07-08

Office Location

Street Address 7689 Waterview Lane
City Chestertown
State MD
Zip Code 21620

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Victor O Stango P.o. Box 639, Chestertown, MD 21620 Professional Engineer 2013-02-01 ~ 2014-01-31
Stephen R Goldblatt 121 Acorn Dr, Chestertown, MD 21620 Registered Nurse 2013-08-01 ~ 2014-07-31
Michael George Wagner 140 Edmore Rd, Chestertown, MD 21620 Engineer-in-training 2000-11-14 ~ 2010-11-14
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John W Schelpert IIi 214 N Queen Street, Chestertown, MD 21620 Physician/surgeon 1999-04-26 ~ 2000-04-30
Ray H Van Wyngarden 217 Birch Run Rd, Chestertown, MD 21620 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
Diane S Gladstone 463 Gull Court, Chestertown, MD 21620 Registered Nurse 2019-12-01 ~ 2020-11-30

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
James A Tucci 27 Laflure Hts, Chestertown, NY 12817-2422 Non-water Supply Driller ~
Donna J Wood 457 Potter Brook Road, Chestertown, NY 12817 Registered Nurse 2012-03-01 ~ 2013-02-28
Richard Considine Rr1, Woodridge Road, Chestertown, NY 12817 Lead Inspector Risk Assessor ~ 1998-09-30

Competitor

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City Chestertown
Zip Code 21620
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Chestertown

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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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