JODI L GALAYDICK (Credential# 1159909) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
JODI L GALAYDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052146. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 59 Olde Wagon Road, Warwick, NY 10990. The current status is active.
| Licensee Name | JODI L GALAYDICK |
| Credential ID | 1159909 |
| Credential Number | 1.052146 |
| Credential Type | Physician/Surgeon |
| Business Address |
59 Olde Wagon Road Warwick NY 10990 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-06-21 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1160218 | CSP.0054595 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-21 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 59 olde wagon road |
| City | warwick |
| State | NY |
| Zip Code | 10990 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Mcgovern | 21 Stonehenge Road, Warwick, NY 10990 | Architect | 2020-08-01 ~ 2021-07-31 |
| Abigail Coppola | 23 Regent Road, Warwick, NY 10990 | Registered Nurse | 2020-06-05 ~ 2021-01-31 |
| Joseph P Dondiego Jr | 48 Hudson Street, Warwick, NY 10990 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Suzanne L Brown Berkowitz | 32 Jessup Road, Warwick, NY 10990 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John S Deerkoski | 56 Forester Ave, Warwick, NY 10990 | Professional Engineer | 2020-02-04 ~ 2021-01-31 |
| Joseph Bonsignore | 5 Shadow Dr, Warwick, NY 10990 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Angela M Loncola | 11 Briarwood Court, Warwick, NY 10990 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Christopher Carbone | 16 Pinecrest, Warwick, NY 10990 | Real Estate Broker | ~ |
| David A Getz | 36 North Lynn St, Warwick, NY 10990 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Blue Enterprises | 50 Horizon Farms Dr, Warwick, NY 10990 | Vending Machine Operator | 1996-09-27 ~ 1997-06-30 |
| Find all Licenses in zip 10990 | |||
| City | warwick |
| Zip Code | 10990 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + warwick |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi Goh Md | 215 Ellington Road, Longmeadow, MA 01106 | Physician/surgeon | 2001-04-02 ~ 2002-05-31 |
| Jodi-ann M Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jodi S Sassoon | 263 Corona Ave, Pelham, NY 10803-2305 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jodi L Schielke | 3 Country Club Dr, Farmington, CT 06032-1575 | Physician/surgeon | 2013-05-22 ~ 2013-09-30 |
| Jodi M Leopold | 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Jodi V Fox-mellul Md | 597 Westport Ave Unit C448, Norwalk, CT 06851-4474 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Jodi M Cohen | 265 East Main Street, Branford, CT 06405 | Physician/surgeon | 1998-02-17 ~ 1999-02-28 |
| Jodi L Abramson | 220 Westchester Avenue West, White Plains, NY 10604 | Physician/surgeon | 2003-03-24 ~ 2004-03-31 |
| Jodi V Hodge Pa | 122 Neck Rd, Madison, CT 06443-2833 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Jodi Abigail Forward | 305 Brooksvale Ave, Hamden, CT 06518-1235 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JODI L GALAYDICK.
| 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).