ROBERT JOHN CONNELLY (Credential# 2013240) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 15, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT JOHN CONNELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065250. The credential type is physician/surgeon. The effective date is April 15, 2020. The expiration date is April 30, 2021. The business address is 55 Dover Ave, La Grange, IL 60525-5858. The current status is active.
| Licensee Name | ROBERT JOHN CONNELLY |
| Credential ID | 2013240 |
| Credential Number | 1.065250 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Dover Ave La Grange IL 60525-5858 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-15 |
| Effective Date | 2020-04-15 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2042575 | CSP.0073906 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-06 | 2020-05-06 - 2021-02-28 | ACTIVE |
| Street Address | 55 DOVER AVE |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-5858 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen B Greif | 1 N. Beacon Place, La Grange, IL 60525 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Gregory A. Packard | 812 8th Avenue, La Grange, IL 60525 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Sarah Elizabeth Eftekhar | 17 S Madison, La Grange, IL 60525 | Registered Nurse - Temporary | 2019-03-26 ~ 2019-07-24 |
| Michael Francis Czyszczewski | 15 N Spring, La Grange, IL 60525 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| Neal C Fischer | 11115 Ashbrook Lane, Indian Head Park, IL 60525 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Linda M Curgian | 6804 Joliet Road, Indian Head Park, IL 60525 | Registered Nurse | 2008-06-03 ~ 2009-05-31 |
| Mohammed F Aldairi | 6700 S Brainard Ave, Countryside, IL 60525 | Physician/surgeon | 1994-11-17 ~ 1996-01-31 |
| Robert Peterson | 25 S La Grange Rd, La Grange, IL 60525-2171 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Kurt R Hoigard | 345 6th Ave, La Grange, IL 60525-2437 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ashland Health Pharmacy | 12 N Catherine Ave, La Grange, IL 60525-5930 | Nonresident Pharmacy | 2015-03-18 ~ 2015-08-31 |
| Find all Licenses in zip 60525 | |||
| City | LA GRANGE |
| Zip Code | 60525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LA GRANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Connelly Pa | 25 Sprin St, Newington, CT 06111 | Physician Assistant | 2007-08-09 ~ 2008-09-30 |
| Michael R Dunham | 42 Connelly Dr, Staatsburg, NY 12580-6132 | Physician/surgeon | 2015-08-01 ~ 2016-02-29 |
| Joseph V Connelly Md | 1351 Washington Blvd, Stamford, CT 06902-2419 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| John Robert Blackwell | P.o. Box 1619, Coeur D'alene, ID 83816 | Physician/surgeon | ~ |
| Robert John Femia | 100 Bleecker St, New York, NY 10012 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Timothy J Connelly · T J Connelly Inc | 26 Sage Dr, Manchester, CT 06040 | Home Improvement Contractor | 1995-11-07 ~ 1996-11-30 |
| T J Connelly Inc | 26 Sage Dr, Manchester, CT 06042 | Home Improvement Contractor | 2016-12-01 ~ 2017-11-30 |
| Robert John Havlik | 2963 Spring Meadow Ct, Indianapolis, IN 46268-4243 | Physician/surgeon | 1986-10-02 ~ 1991-10-31 |
| William G Freda | 95 Connelly Rd, Connelly, NY 12417 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).