PATRICK CHURNEY RUTKA (Credential# 1673083) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PATRICK CHURNEY RUTKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064195. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 240 Meeting House Ln, Southampton, NY 11968-5009. The current status is active.
Licensee Name | PATRICK CHURNEY RUTKA |
Credential ID | 1673083 |
Credential Number | 1.064195 |
Credential Type | Physician/Surgeon |
Business Address |
240 Meeting House Ln Southampton NY 11968-5009 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-09-06 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1691209 | CSP.0072416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-12 | 2019-09-12 - 2021-02-28 | ACTIVE |
Street Address | 240 MEETING HOUSE LN |
City | SOUTHAMPTON |
State | NY |
Zip Code | 11968-5009 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Southampton Hospital Foundation Inc (the) | 240 Meeting House Ln, Southampton, NY 11968-5009 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Siamak B Samii | 23 Culver Hill Street, Southampton, NY 11968 | Architect | 2020-08-01 ~ 2021-07-31 |
Lawrence F Sullivan | 40 Adams Lane, Southampton, NY 11968 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Lafayette Capital Group Inc | 53 Hill St. #2, Southampton, NY 11968 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
Sunhe A Sherwood-dudley | 50 Hill Street #365, Southampton, NY 11968 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Kathleen's Bake Shop | 43 North Sea Rd, Southampton, NY 11968 | Bakery | 1997-07-01 ~ 1998-06-30 |
Steven V Cary · Suffolk County Dept/health | 23 Shrubland Rd, Southampton, NY 11968 | Professional Engineer | 1991-02-08 ~ 1992-01-31 |
Devin A Glanz | 24 Shore Road, Southampton, NY 11968 | Limited Sheet Metal Journeyperson | ~ |
Ali Tamsen | 240 Meeting House Lane, Ste. 3, Southampton, NY 11968 | Physician/surgeon | 2010-10-01 ~ 2011-09-30 |
Patricia J Armusewicz | 165 Majors Path, Southampton, NY 11968 | Registered Nurse | 1999-11-18 ~ 2001-01-31 |
William D Perino | 115 Magee Street, Southampton, NY 11968 | Lead Abatement Supervisor | ~ 1996-09-30 |
Find all Licenses in zip 11968 |
City | SOUTHAMPTON |
Zip Code | 11968 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTHAMPTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia A Rutka · Rutka | 196 Wall St, Colchester, CT 06415 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Randall Rutka LLC · Mr Construction | 89 Montauk Dr, Vernon Rockville, CT 06066-5305 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
Delia J Wu | 900 E. Patrick Henry, Burkeville, VA 23922 | Physician/surgeon | 1995-10-10 ~ 1996-11-30 |
Patrick H Mcnulty | 333 Cedar St 3-fmp, New Haven, CT 06520-8017 | Physician/surgeon | 1999-09-21 ~ 2000-10-31 |
Patrick J Greene | 50 Glenbrook Rd, Stamford, CT 06902 | Physician/surgeon | 1994-06-23 ~ 1995-04-30 |
Patrick L. Leong | 6 Quaker Rd, Nashua, NH 03063-2842 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Patrick A Izzo | 555 Newfield Ave, Stamford, CT 06905 | Physician/surgeon | 1998-12-23 ~ 1999-11-30 |
Patrick J Cahill Do | 999 Summer St Ste 401, Stamford, CT 06905-5546 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).