MARK J. BUCKSBAUM
Physician/Surgeon

Address: 3153-7 Stone Hollow Rd, Mendun, VT 05701

MARK J. BUCKSBAUM (Credential# 926340) is licensed (Physician/Surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 1988. The license expiration date date is November 30, 1989. The license status is INACTIVE.

Business Overview

MARK J. BUCKSBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029186. The credential type is physician/surgeon. The effective date is July 1, 1988. The expiration date is November 30, 1989. The business address is 3153-7 Stone Hollow Rd, Mendun, VT 05701. The current status is inactive.

Basic Information

Licensee Name MARK J. BUCKSBAUM
Credential ID 926340
Credential Number 1.029186
Credential Type Physician/Surgeon
Business Address 3153-7 Stone Hollow Rd
Mendun
VT 05701
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-07-01
Effective Date 1988-07-01
Expiration Date 1989-11-30
Refresh Date 2010-04-27

Office Location

Street Address 3153-7 STONE HOLLOW RD
City MENDUN
State VT
Zip Code 05701

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Gregory L Danyow 14 Perkins Road, Rutland, VT 05701 Pharmacist 2020-02-01 ~ 2022-01-31
Craig Zalis Md Rutland Va Clinic, Rutland, VT 05701 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kwasi A Asante 9 Regency Manor Apt #9-5, Rutland, VT 05701 Professional Engineer 2017-02-01 ~ 2018-01-31
Wallace G Holbrook · ****************************** %braden 39 East St, Rutland, VT 05701 Professional Engineer 1986-02-13 ~ 1987-01-31
Naomi E Smith 50 Woodstock Avenue, Rutland, VT 05701 Certified Public Accountant License 1986-06-19 ~ 1986-12-31
Jaclyn Sanborn 17 Vernon St, Rutland, VT 05701 Pharmacy Intern 2006-09-08 ~ 2010-09-30
Jeffrey S Mcgee 128 Oles Drive, Rutland, VT 05701 Plumbing & Piping Unlimited Journeyperson 2010-11-01 ~ 2011-10-31
Howard H Hanson 6 Campbell Road, Rutland, VT 05701 Certified Public Accountant Firm Permit 1988-01-07 ~ 1988-12-31
Ivo N Skoric 105 Robbins Street, Rutland, VT 05701 Asbestos Abatement Supervisor 2009-06-24 ~ 2009-09-30
Jonathan A Reynolds Station A; Box #1544, Rutland, VT 05701 Pharmacy Intern 2004-11-04 ~ 2008-09-30
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Competitor

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City MENDUN
Zip Code 05701
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MENDUN

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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).