ALEXIS L RODRIGUEZ (Credential# 1163890) 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.
ALEXIS L RODRIGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052111. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 128 Canner St., New Havent, CT 06511. The current status is active.
Licensee Name | ALEXIS L RODRIGUEZ |
Credential ID | 1163890 |
Credential Number | 1.052111 |
Credential Type | Physician/Surgeon |
Business Address |
128 Canner St. New Havent CT 06511 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-06-19 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
951972 | CSP.0048786 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-06-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 128 Canner St. |
City | New Havent |
State | CT |
Zip Code | 06511 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | New Havent |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + New Havent |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ama Alexis | 350 W. 50th Street, New York, NY 10019 | Physician/surgeon | 2006-05-01 ~ 2007-05-31 |
Alexis P Anderson | 88b Howe St, New Haven, CT 06511 | Physician/surgeon | 2006-04-27 ~ 2007-05-31 |
Alexis C Woodruff | 311 Greene St, New Haven, CT 06511 | Physician/surgeon | 1995-08-11 ~ 1996-08-31 |
Alexis H Kim | 610 Gilbert Ave, Menlo Park, CA 94025 | Physician/surgeon | 1994-08-02 ~ 1995-09-30 |
Alexis R Markowski | 202 Reservoir Rd, Middletown, RI 02842-5961 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Alexis Scherl | 82 Guernsey St Apt 3b, Brooklyn, NY 11222-3106 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
Alexis Halpern | 525 E. 68th Street, New York, NY 10065 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Alexis E Khoury | 141 Broad Street, Danielson, CT 06239 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Alexis M Cordiano | 33 Bull Hill Road, Colchester, CT 06415 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Alexis E Finlay Md | 260 Hunt Lane, North Salem, NY 10560 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).