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.
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.
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 |
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 |
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 |
Street Address | 28 LIBERTY SQ APT 290 |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-5400 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
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 |
Find all Licenses in zip 06002 |
City | BLOOMFIELD |
Zip Code | 06002 |
License Type | Resident Physician |
License Type + County | Resident Physician + BLOOMFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William Santiago | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Romero N. Santiago | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Santiago Alday | 24 Old Town Rd, Bethel, CT 06801-3110 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
Santiago Delgado | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
Emilio Rodriguez Pena | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
Estela Rodriguez Alonso | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
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 |
Benjamin Rodriguez Perea | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Camila E Rodriguez Buljubasich | 64 Robbins St Rm 3304, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-10 ~ 2022-06-22 |
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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).