ROBERT P DUDEK (Credential# 548547) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROBERT P DUDEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030575. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 140 Hazard Ave Ste 101, Enfield, CT 06082-4520. The current status is active.
| Licensee Name | ROBERT P DUDEK |
| Credential ID | 548547 |
| Credential Number | 1.030575 |
| Credential Type | Physician/Surgeon |
| Business Address |
140 Hazard Ave Ste 101 Enfield CT 06082-4520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1990-02-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158039 | CSP.0017865 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 140 HAZARD AVE STE 101 |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hemant K Panchal, Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| The Jug Shop | 80 Hazard Ave, Enfield, CT 06082-4520 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 142 Hazard Avenue, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey C Wint | 115 Elm Street Suite 208, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Northeast Regional Radiation Oncology Network Inc. · Community Cancercare | 142 Hazard Ave, Enfield, CT 06082-4520 | Outpatient Clinic | 2012-10-01 ~ 2016-09-30 |
| Carla Desantis Md | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas Baird Fitzgerald | 170 Hazard Ave, Enfield, CT 06082-4520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Timothy Machon | 170 Hazard Ave, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Satish Panchal · Jug Shop (the) | 80 Hazard Ave, Enfield, CT 06082-4520 | Package Store Liquor | 2019-09-29 ~ 2020-09-28 |
| Richard T Martin | 115 Elm Street, Enfield, CT 06082-4520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in zip 06082-4520 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Dudek | 75 Dudek Rd, Jewett City, CT 06351-1307 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
| Steve Dudek and Sons Inc | 23 Haig Ave, Stamford, CT 06905 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Steven M Dudek · Dudek & Son's Home Improvement | 22 Hirsch Rd, Stamford, CT 06905-3207 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| 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 F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| 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 |
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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).