JERROLD E BLUM
Optometrist


Address: 130 Morgan Street, Stamford, CT 06905

JERROLD E BLUM (Credential# 762553) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is December 14, 1998. The license expiration date date is September 24, 1999. The license status is INACTIVE.

Business Overview

JERROLD E BLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.000846. The credential type is optometrist. The effective date is December 14, 1998. The expiration date is September 24, 1999. The business address is 130 Morgan Street, Stamford, CT 06905. The current status is inactive.

Basic Information

Licensee Name JERROLD E BLUM
Credential ID 762553
Credential Number 3.000846
Credential Type Optometrist
Business Address 130 Morgan Street
Stamford
CT 06905
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1978-07-27
Effective Date 1998-12-14
Expiration Date 1999-09-24
Refresh Date 2009-07-08

Office Location

Street Address 130 MORGAN STREET
City STAMFORD
State CT
Zip Code 06905

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Competitor

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City STAMFORD
Zip Code 06905
License Type Optometrist
License Type + County Optometrist + STAMFORD

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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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