FORREST S RUBENSTEIN
Physician/surgeon


Address: 160 Country Road, Fairfield, CT 06824

FORREST S RUBENSTEIN (Credential# 564205) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 18, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.

Business Overview

FORREST S RUBENSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046623. The credential type is physician/surgeon. The effective date is May 18, 2009. The expiration date is February 28, 2010. The business address is 160 Country Road, Fairfield, CT 06824. The current status is inactive.

Basic Information

Licensee Name FORREST S RUBENSTEIN
Credential ID 564205
Credential Number 1.046623
Credential Type Physician/Surgeon
Business Address 160 Country Road
Fairfield
CT 06824
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-06-06
Effective Date 2009-05-18
Expiration Date 2010-02-28
Refresh Date 2010-06-04

Office Location

Street Address 160 Country Road
City Fairfield
State CT
Zip Code 06824

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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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