KASEY A STATUM
Physician/surgeon


Address: P.o. Box 3579, Laurel, MD 20709

KASEY A STATUM (Credential# 560563) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 8, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

KASEY A STATUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042981. The credential type is physician/surgeon. The effective date is December 8, 2004. The expiration date is November 30, 2005. The business address is P.o. Box 3579, Laurel, MD 20709. The current status is inactive.

Basic Information

Licensee Name KASEY A STATUM
Credential ID 560563
Credential Number 1.042981
Credential Type Physician/Surgeon
Business Address P.o. Box 3579
Laurel
MD 20709
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-12-08
Effective Date 2004-12-08
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address P.O. Box 3579
City Laurel
State MD
Zip Code 20709

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Competitor

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City Laurel
Zip Code 20709
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Laurel

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
The Kasey Group LLC 3288 Main St, Stratford, CT 06614-4800 Real Estate Broker ~
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Victoria S Giddiens · Statum 242 Goddard Avenue, Bridgeport, CT 06610 Hairdresser/cosmetician 2020-03-01 ~ 2022-02-28
Jason Statum 135 North Plains Ind Rd, Wallingford, CT 06492 Medication Administration Certification 2014-01-14 ~ 2016-01-13
Kasey E Bellegarde 10 Quail Run Rd, Bellingham, MA 02019-2927 Registered Nurse 2014-10-09 ~ 2015-04-30
Kasey D Gagstetter 28 Lawrence Ave, Milford, CT 6460 Emergency Medical Technician ~
Kasey E Larue 4 Hunters Ln, Ansonia, CT 06401-2021 Pharmacy Technician 2019-04-01 ~ 2020-03-31
Kasey R Fitzgerald 5 Laurel Dr, Dayville, CT 06241-2211 Hairdresser/cosmetician 2019-04-01 ~ 2021-03-31
Kasey Duncan 190 Seabright Ave, Bridgeport, CT 06605-3425 Massage Therapist 2018-12-01 ~ 2020-11-30
Kasey Mckenna 102 Greene St, Bristol, CT 06010 Pharmacy Technician 2019-01-11 ~ 2020-03-31

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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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