RUSSELL B EPHRAIM
Physician/surgeon


Address: Carecore National, LLC, Wappingers Falls, NY 12590

RUSSELL B EPHRAIM (Credential# 561547) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2006. The license expiration date date is December 31, 2007. The license status is INACTIVE.

Business Overview

RUSSELL B EPHRAIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043965. The credential type is physician/surgeon. The effective date is November 20, 2006. The expiration date is December 31, 2007. The business address is Carecore National, LLC, Wappingers Falls, NY 12590. The current status is inactive.

Basic Information

Licensee Name RUSSELL B EPHRAIM
Credential ID 561547
Credential Number 1.043965
Credential Type Physician/Surgeon
Business Address Carecore National, LLC
Wappingers Falls
NY 12590
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-12-01
Effective Date 2006-11-20
Expiration Date 2007-12-31
Refresh Date 2009-07-08

Office Location

Street Address CareCore National, LLC
City Wappingers Falls
State NY
Zip Code 12590

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Whitney Elise Pearce 46 Mac Farlane Rd, Wappingers Falls, NY 12590 Registered Nurse ~
Suzanne M Straebler 4703 Ridgecrest Rd, Wappingers Falls, NY 12590 Registered Nurse 2020-08-01 ~ 2021-07-31
Roseline Gaga 13 Maurice Drive, Wappingers Falls, NY 12590 Registered Nurse ~
Andrew C Milliken 44 Top O Hill Rd, Wappingers Falls, NY 12590 Architect 2020-08-01 ~ 2021-07-31
Mary R Sheehy 187 Nw Hackensack Rd, Wappingers Falls, NY 12590 Optometrist 2020-06-01 ~ 2021-05-31
William P. Staib 18 Sidney Lane, Wappingers Falls, NY 12590 Crane Operator 2018-05-07 ~ 2020-05-06
Essam L Jacob 4202 Ridgecrest Drive, Wappingers Falls, NY 12590 Physician/surgeon 2020-08-01 ~ 2021-07-31
Sarah Elizabeth Lamonica 5 Dennis Road, Wappingers Falls, NY 12590 Registered Nurse - Temporary 2019-12-05 ~ 2020-04-03
Paul A Rodriguez 73 Balfour Dr, Wappingers Falls, NY 12590 Asbestos Consultant-inspector 2020-04-01 ~ 2021-03-31
George Aronis 86 All Angels Hill Rd, Wappingers Falls, NY 12590 Tattoo Technician 2020-04-01 ~ 2022-03-31
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Competitor

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City Wappingers Falls
Zip Code 12590
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Wappingers Falls

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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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