JEFFREY RUDIKOFF (Credential# 546857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
JEFFREY RUDIKOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027921. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 25 Cassandra Blvd Apt 309, West Hartford, CT 06107-3163. The current status is inactive.
Licensee Name | JEFFREY RUDIKOFF |
Credential ID | 546857 |
Credential Number | 1.027921 |
Credential Type | Physician/Surgeon |
Business Address |
25 Cassandra Blvd Apt 309 West Hartford CT 06107-3163 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1987-02-13 |
Effective Date | 2014-07-01 |
Expiration Date | 2015-06-30 |
Refresh Date | 2015-10-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
155046 | CSP.0016109 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 25 CASSANDRA BLVD APT 309 |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-3163 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elinor Welson | 25 Cassandra Blvd Apt 204, West Hartford, CT 06107-3163 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
Lynne M Gallinoto | 25 Cassandra Blvd Apt 311, West Hartford, CT 06107-3163 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
Robert I Cohn | 25 Cassandra Blvd Apt 308, West Hartford, CT 06107-3163 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | WEST HARTFORD |
Zip Code | 06107 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
Jeffrey T Pan Md | 41 Ironwood Rd, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jeffrey J Brooks Md | 166 Cherry St Ste B, New Canaan, CT 06840-4828 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).