JEFFREY RUDIKOFF
Physician/surgeon


Address: 25 Cassandra Blvd Apt 309, West Hartford, CT 06107-3163

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
155046 CSP.0016109 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 25 CASSANDRA BLVD APT 309
City WEST HARTFORD
State CT
Zip Code 06107-3163

Licenses in the same zip code

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

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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
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Teresa M Stanton 25 Common Dr., West Hartford, CT 06107 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HARTFORD
Zip Code 06107
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HARTFORD

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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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