CLIFFORD C PODEWELL
Physician/surgeon


Address: 5542 W. Park View Ln, Glendale, AZ 85310

CLIFFORD C PODEWELL (Credential# 543580) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 17, 1995. The license expiration date date is July 31, 1996. The license status is INACTIVE.

Business Overview

CLIFFORD C PODEWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021120. The credential type is physician/surgeon. The effective date is July 17, 1995. The expiration date is July 31, 1996. The business address is 5542 W. Park View Ln, Glendale, AZ 85310. The current status is inactive.

Basic Information

Licensee Name CLIFFORD C PODEWELL
Credential ID 543580
Credential Number 1.021120
Credential Type Physician/Surgeon
Business Address 5542 W. Park View Ln
Glendale
AZ 85310
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-03-23
Effective Date 1995-07-17
Expiration Date 1996-07-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
143381 CSP.0008743 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-11-15 - 1995-12-01 INACTIVE

Office Location

Street Address 5542 W. PARK VIEW LN
City GLENDALE
State AZ
Zip Code 85310

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Laurie Demeza 22027 N. 73rd Ave, Glendale, AZ 85310 Registered Nurse 2020-07-01 ~ 2021-06-30
Kay L Talerico 23621 N 43 Dr, Phoenix, AZ 85310 Registered Nurse - Temporary 2019-03-15 ~ 2019-07-13
Bertha M Walters 4439 W Fallen Leaf, Glendale, AZ 85310 Hairdresser/cosmetician 2018-08-01 ~ 2020-07-31
Salma Jesmin 6383 W. Donald Drive, Glendale, AZ 85310 Physician/surgeon 2008-12-29 ~ 2010-01-31
Mary J Budarz 5542 W Park View La, Glendale, AZ 85310 Physician/surgeon 1994-06-20 ~ 1995-08-31
Ellen G Brown 6631 West Louise Dr, Glendale, AZ 85310 Registered Nurse 1995-03-14 ~ 1996-05-31
Sharon R Danner 6607 W. Sesert Hollow Dr., Glendale, AZ 85310 Respiratory Care Practitioner 2006-03-17 ~ 2007-02-28
Extreme Products Group 6635 W Happy Valley Rd Ste A104, Glendale, AZ 85310-2609 Importer of Bedding & Upholstered Furniture 2020-05-01 ~ 2021-04-30
Mary Budarz Md 5542 West Park View Lane, Glendle, AZ 85310-2816 Controlled Substance Registration for Practitioner 1994-06-08 ~ 1996-07-01
Kevin Dang 23417 N 64th Ave, Glendale, AZ 85310-3401 Pharmacist 2020-02-01 ~ 2022-01-31
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Competitor

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City GLENDALE
Zip Code 85310
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLENDALE

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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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