BENJAMIN A HAGENDORF (Credential# 1436878) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
BENJAMIN A HAGENDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 80 Seymour Street, Hartford, CT 06102. The current status is pending.
| Licensee Name | BENJAMIN A HAGENDORF |
| Credential ID | 1436878 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
80 Seymour Street Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2017-07-13 |
| Street Address | 80 Seymour Street |
| City | Hartford |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Faiqa A Cheema | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kristen Marie Guida | 80 Seymour Street, Hartford, CT 06102 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael Dibianco | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Jacqueline Rheiner | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph A Radojevic | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Danielle D Soneson | 80 Seymour Street, Hartford, CT 06102 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| April L Goller Do | 80 Seymour Street, Hartford, CT 06106-2579 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffanie C Weaver | 80 Seymour Street, Hartford, CT 06102 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Craig B Moskowitz | 80 Seymour Street, Hartford, CT 06102-5037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Susan Kim | Hartford Hospital - Radiation Oncology, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | Hartford |
| Zip Code | 06102 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Benjamin D Gordon Md | 14 Hillsea Rd, Yarmouth, MD 02675-1111 | Physician/surgeon | 2003-01-16 ~ 2004-03-31 |
| Benjamin H Lee | 2005 Hillmeade Dr, Nashville, TN 37221 | Physician/surgeon | 1997-05-12 ~ 1998-07-31 |
| Benjamin F Gruenbaum | 546 Riverside Dr, Fairfield, CT 06824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Benjamin Lord Jr | 405 Washington St, Norwich, CT 06360 | Physician/surgeon | 1997-02-04 ~ 1998-02-28 |
| Benjamin Katzin | 65 Perkins Rd, Litchfield, CT 06759 | Physician/surgeon | 2009-03-05 ~ 2010-04-30 |
| Benjamin J Sadock | 930 Park Ave, New York, NY 10028 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Benjamin K Oko Md | 11 Barlow Mountain Rd, Ridgefield, CT 06877-2416 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Benjamin Stein | 161 Madison Avenue, New York, NY 10016 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on BENJAMIN A HAGENDORF.
| 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).