HENRY ROQUE MD (Credential# 553996) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2006. The license expiration date date is March 31, 2007. The license status is INACTIVE.
HENRY ROQUE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036404. The credential type is physician/surgeon. The effective date is March 10, 2006. The expiration date is March 31, 2007. The business address is Dept of Ob/gyn Uconn Hlth Ctr, Farmington, CT 06030. The current status is inactive.
| Licensee Name | HENRY ROQUE MD |
| Credential ID | 553996 |
| Credential Number | 1.036404 |
| Credential Type | Physician/Surgeon |
| Business Address |
Dept of Ob/gyn Uconn Hlth Ctr Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-09-26 |
| Effective Date | 2006-03-10 |
| Expiration Date | 2007-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 285266 | CSP.0031345 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE | |
| 188641 | CSP.0026305 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-11-20 - 1999-02-28 | INACTIVE |
| Street Address | DEPT OF OB/GYN UCONN HLTH CTR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmen M Ortiz-roque | 2101 W Louisiana Ave, Midland, TX 79701 | Physician/surgeon | 1999-04-26 ~ 2000-01-31 |
| Henry Lin | 25 Newell Rd Ste C-4, Bristol, CT 06010-5100 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Henry M Spinelli | 875 5th Ave, New York, NY 10065-4952 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Henry B Low | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Henry Lee | 760 Saybrook Rd, Middletown, FL 06457 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Ashley M Roque | Apt 508, New York, NY 10069 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Amit K Sharma | 10 Henry Beach Ct, Montville, NJ 07045-9609 | Physician/surgeon | ~ |
| Henry M Rubinstein | 947 Riverbank Rd, Stamford, CT 06903-2713 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Henry J Gloetzner | 13 Yarmouth Rd, Rowayton, CT 06853 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
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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).