CONSUELO M. REDDICK
Physician/surgeon


Address: 1695 Oakfield Ln, Roswell, GA 30075-3017

CONSUELO M. REDDICK (Credential# 1201878) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 19, 2014. The license expiration date date is January 31, 2015. The license status is INACTIVE.

Business Overview

CONSUELO M. REDDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052742. The credential type is physician/surgeon. The effective date is February 19, 2014. The expiration date is January 31, 2015. The business address is 1695 Oakfield Ln, Roswell, GA 30075-3017. The current status is inactive.

Basic Information

Licensee Name CONSUELO M. REDDICK
Credential ID 1201878
Credential Number 1.052742
Credential Type Physician/Surgeon
Business Address 1695 Oakfield Ln
Roswell
GA 30075-3017
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-02-19
Effective Date 2014-02-19
Expiration Date 2015-01-31
Refresh Date 2015-05-06

Office Location

Street Address 1695 OAKFIELD LN
City ROSWELL
State GA
Zip Code 30075-3017

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Selena Kimble 2817 Hemingway Lane, Roswell, GA 30075 Registered Nurse ~
Sharon Elaine Grove 315 Chickering Lake Ct, Roswell, GA 30075 Registered Nurse 2020-07-01 ~ 2021-06-30
Sara E Callahan 275 Spring Creek Road, Roswell, GA 30075 Professional Counselor 2020-05-01 ~ 2021-04-30
Michael N Shewchuk 4493 Old Mabry Pl Ne, Roswell, GA 30075 Professional Engineer 2020-02-11 ~ 2021-01-31
David J Rainone 1008 Taimen Dr, Roswell, GA 30075 Professional Engineer 2020-02-01 ~ 2021-01-31
Harold D Chandler 3307 Lantern Coach Lane Ne, Roswell, GA 30075 Professional Engineer 2020-02-01 ~ 2021-01-31
Matthew G Derocher 8035 Cedar Cove, Roswell, GA 30075 Professional Engineer 2020-02-01 ~ 2021-01-31
Eric M Wolf 2853 Tynewick Dr., Roswell, GA 30075 Professional Engineer 2020-02-01 ~ 2021-01-31
Matthew E Watkins 3876 Dundee Drive Ne, Roswell, GA 30075 Professional Engineer 2020-02-01 ~ 2021-01-31
Kathleen M Boyle 3701 Mabry Road Ne, Roswell, GA 30075 Licensed Practical Nurse 2019-12-01 ~ 2020-11-30
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Competitor

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City ROSWELL
Zip Code 30075
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ROSWELL

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Joy Reddick 22 Harbor Ave, Madison, CT 06443 Licensed Practical Nurse 1998-01-21 ~ 1999-02-28
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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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