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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
143381 | CSP.0008743 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-11-15 - 1995-12-01 | INACTIVE |
Street Address | 5542 W. PARK VIEW LN |
City | GLENDALE |
State | AZ |
Zip Code | 85310 |
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 |
Find all Licenses in zip 85310 |
City | GLENDALE |
Zip Code | 85310 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GLENDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Clifford Kye | 540 Litchfield St., Torrington, CT 06790 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford Berken | 39 Cogswell Ln, Stamford, CT 06902-1322 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Manu C Shekher Md | 33 Clifford Ave, Pelham, NY 10803 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Clifford J Prestia | 125 Liberty St, Springfield, MA 01103 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Clifford B Rosenberg | 81 Coe Street, Winsted, CT 06098 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Clifford M. Gevirtz | 31 Longledge Dr, Rye Brook, NY 10573-1943 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford J Appel | 55 E Farm Ln, Ridgefield, CT 06877-3432 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Clifford J Schwartz | 126 Gary Rd, Stamford, CT 06903 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Clifford B Freling Md | 44 Northgate, Avon, CT 06001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Clifford D Barker | 42 Panorama Dr, Warwick, NY 10990-2732 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).