PAUL A PUDIMAT MD (Credential# 554983) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
PAUL A PUDIMAT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037393. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 61 Emerald Glen Lane, Salem, CT 06420. The current status is active.
Licensee Name | PAUL A PUDIMAT MD |
Credential ID | 554983 |
Credential Number | 1.037393 |
Credential Type | Physician/Surgeon |
Business Address |
61 Emerald Glen Lane Salem CT 06420 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-11-13 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-16 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
204302 | CSP.0027767 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 61 EMERALD GLEN LANE |
City | SALEM |
State | CT |
Zip Code | 06420 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Ann S Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
Sarah L Maiorano | 130 Music Vale Road, Salem, CT 06420 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06420 |
City | SALEM |
Zip Code | 06420 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SALEM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
George Pudimat · George Pudimat Painting | 13 Joyce Ave, Derby, CT 06418 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
Hongwei Ma | 114 St Paul St #5, Brookline, MA 02146 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
Paul J Healey | 76 Gay St, Somerset, MA 02726-5313 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Paul J Beauvais | Ste 300, Waterbury, CT 06708 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).