SANTIAGO RODRIGUEZ
Resident Physician


Address: 28 Liberty Sq Apt 290, Bloomfield, CT 06002-5400

SANTIAGO RODRIGUEZ (Credential# 1488796) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

SANTIAGO RODRIGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058191-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 28 Liberty Sq Apt 290, Bloomfield, CT 06002-5400. The current status is active.

Basic Information

Licensee Name SANTIAGO RODRIGUEZ
Credential ID 1488796
Credential Number 1.058191-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 28 Liberty Sq Apt 290
Bloomfield
CT 06002-5400
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-01
Effective Date 2016-07-01
Expiration Date 2021-06-30
Refresh Date 2018-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1400798 CSP.0064696 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-20 2019-03-01 - 2021-02-28 ACTIVE
1354007 CSP.0062767 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-07-06 2016-07-06 - 2017-02-28 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Santiago Rodriguez 108 Wilson Rd, Easton, CT 06612-1621 Electrical Limited Journeyperson 2019-10-01 ~ 2020-09-30

Office Location

Street Address 28 LIBERTY SQ APT 290
City BLOOMFIELD
State CT
Zip Code 06002-5400

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Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
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Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City BLOOMFIELD
Zip Code 06002
License Type Resident Physician
License Type + County Resident Physician + BLOOMFIELD

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Juan G Rodriguez Guzman 300 George St Ste 901, New Haven, CT 06511-6662 Resident Physician 2017-06-12 ~ 2021-06-30
Ana Laura Vives-rodriguez 20 York St., New Haven, CT 06510-3220 Resident Physician 2016-06-29 ~ 2020-06-30
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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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