DANIELLE S RUDICH (Credential# 1148169) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DANIELLE S RUDICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051746. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1201 W Main St Ste 100, Waterbury, CT 06708-3105. The current status is active.
| Licensee Name | DANIELLE S RUDICH |
| Credential ID | 1148169 |
| Credential Number | 1.051746 |
| Credential Type | Physician/Surgeon |
| Business Address |
1201 W Main St Ste 100 Waterbury CT 06708-3105 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1157814 | CSP.0054500 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-04-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 505848 | CSP.0043661 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-06-17 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 1201 W MAIN ST STE 100 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Berenberg | 1201 W Main St Ste 100, Waterbury, CT 06708-3105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Erika Wandel | 1201 W Main St Ste 100, Waterbury, CT 06708-3105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander T Nguyen | 1201 W Main St Ste 100, Waterbury, CT 06708-3105 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Connecticut Retina Association Inc. | 1201 W Main St Ste 100, Waterbury, CT 06708-3105 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Optical Shop At The Eye Care Group | 1201 W Main St, Waterbury, CT 06708-3105 | Optical Selling Permit | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine Rudich Baldwin | 27 Walton Dr, West Hartford, CT 06107 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lynn K. Rudich | 9 North Pease Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Danielle Gibbs | 6 Massachusetts Ave, Longmeadow, MA 01106-3023 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Danielle Dang | 55 Water St Unit 4c, Brooklyn, NY 11201-1052 | Physician/surgeon | ~ |
| Danielle M Corpuz | 49 Quarry Rd, Waterford, CT 06385-3726 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Danielle Dang | 76 Center Street, Waterbury, CT 06702 | Physician/surgeon | ~ |
| Danielle Vitiello | 3 Zambom Ter, Andover, MA 01810-6400 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Danielle Rose Saldin | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Danielle A Butler | 22 Adams Lane, Hainesport, NJ 08036 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Danielle Eve Greenman | 46 Ledge Brook Rd, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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| 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).