ROBERT P HENDRIKSON (Credential# 543559) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT P HENDRIKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021059. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 60 Westwood Ave, Waterbury, CT 06708. The current status is active.
| Licensee Name | ROBERT P HENDRIKSON |
| Credential ID | 543559 |
| Credential Number | 1.021059 |
| Credential Type | Physician/Surgeon |
| Business Address |
60 Westwood Ave Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1979-02-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| Street Address | 60 WESTWOOD AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bhupinder S Lyall | 60 Westwood Ave, Waterbury, CT 06708 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Christopher J Loughlin Md | 60 Westwood Ave, Waterbury, CT 06708-2460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rahim Shamsi | 60 Westwood Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul Beauvais | 60 Westwood Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert P Hendrickson | 60 Westwood Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joel J Garsten | 60 Westwood Ave, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Albert R Marano | 60 Westwood Ave, Waterbury, CT 06708-2460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald Fox Pa | 60 Westwood Ave, Waterbury, CT 06708 | Physician Assistant | 2012-09-01 ~ 2013-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert C Alvis Md | Po Box 194, Thornwood, NY 10594 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert Nekrich | Po Box 316, New City, NY 10956 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
Please comment or provide details below to improve the information on ROBERT P HENDRIKSON.
| 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).