LAURIE A PENIX (Credential# 551137) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 5, 1998. The license expiration date date is June 30, 1999. The license status is INACTIVE.
LAURIE A PENIX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033538. The credential type is physician/surgeon. The effective date is May 5, 1998. The expiration date is June 30, 1999. The business address is Yale Univ Ped. Dept., New Haven, CT 06520-8081. The current status is inactive.
Licensee Name | LAURIE A PENIX |
Credential ID | 551137 |
Credential Number | 1.033538 |
Credential Type | Physician/Surgeon |
Business Address |
Yale Univ Ped. Dept. New Haven CT 06520-8081 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-02-25 |
Effective Date | 1998-05-05 |
Expiration Date | 1999-06-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163365 | CSP.0022031 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | YALE UNIV PED. DEPT. |
City | NEW HAVEN |
State | CT |
Zip Code | 06520-8081 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Cappello Md | Yale Univ Dept of Pediatrics, New Haven, CT 06520-8081 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06520 |
City | NEW HAVEN |
Zip Code | 06520 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurie Marbas | #163, Longmont, CO 80501 | Physician/surgeon | ~ |
Rizwan A Shaikh Md | 711 Laurie Ln, Orange, CT 06477-1822 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Laurie H Bayer | 215 Mountain Rd, Glastonbury, CT 06033 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Anum Sheikh Ahmed | 711 Laurie Ln, Orange, CT 06477-1822 | Physician/surgeon | ~ |
Janet Laurie Stein | 12 W 96th St Apt 4d, New York, NY 10025-6509 | Physician/surgeon | ~ |
Laurie E Gianturco | Po Box 2430, Brattleboro, VT 05303 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Laurie E Hirsh | 57 W 58th St Apt 9c, New York, NY 10019-1610 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
Laurie K Maysick | 168 Thunder Hill Dr, Stamford, CT 06902-1024 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Laurie M Betts | 365 Willard Avenue, Newington, CT 06111 | Physician/surgeon | 1996-04-09 ~ 1997-05-31 |
Laurie A Abrams | 16205 Dustin Ct, Burtonsville, MD 20866 | Physician/surgeon | 2008-03-10 ~ 2009-04-30 |
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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).