SARA M BODNER MD (Credential# 556357) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 15, 2003. The license expiration date date is August 31, 2004. The license status is INACTIVE.
SARA M BODNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038769. The credential type is physician/surgeon. The effective date is August 15, 2003. The expiration date is August 31, 2004. The business address is 140 Mill Street, East Haven, CT 06512. The current status is inactive.
| Licensee Name | SARA M BODNER MD |
| Credential ID | 556357 |
| Credential Number | 1.038769 |
| Credential Type | Physician/Surgeon |
| Business Address |
140 Mill Street East Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-06-20 |
| Effective Date | 2003-08-15 |
| Expiration Date | 2004-08-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 295720 | CSP.0031706 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 140 MILL STREET |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy L Albert | 140 Mill Street, East Haven, CT 06512 | Emergency Medical Technician | 2019-04-02 ~ 2022-03-31 |
| Gabriela Saavedra | 140 Mill Street, East Haven, CT 06512 | Pharmacist | 2020-06-09 ~ 2022-01-31 |
| Samantha L Mc Intyre | 140 Mill Street, East Haven, CT 06512 | Notary Public Appointment | 2016-10-24 ~ 2021-10-31 |
| Kelly Anne Sosensky | 140 Mill Street, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Casande Jean-baptiste | 140 Mill Street, East Haven, CT 06512 | Licensed Practical Nurse | 2019-06-01 ~ 2020-05-31 |
| Tracy L Whyte | 140 Mill Street, East Haven, CT 06512 | Notary Public Appointment | 2011-05-01 ~ 2016-04-30 |
| Nicholas S Waage | 140 Mill Street, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2008-04-09 ~ 2009-02-28 |
| Ayrton Castaneda | 140 Mill Street, East Haven, CT 06512 | Asbestos Abatement Supervisor | 2008-01-09 ~ 2008-12-31 |
| Tammy A Winchell | 140 Mill Street, East Haven, CT 06512 | Registered Nurse | 2005-10-05 ~ 2006-11-30 |
| Mandy M Draper | 140 Mill Street, East Haven, CT 06512 | Registered Nurse | 2004-07-30 ~ 2005-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley A Bodner | 8620 N Lake Dasha Dr, Plantation, FL 33324-3136 | Physician/surgeon | 2010-11-01 ~ 2011-11-30 |
| Sara Gould | 545 First Ave, New York, NY 10016 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Sara B Elias Md | 1 Theall Rd, Rye, NY 10580-1404 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sara L Harkness Md | 52 Wilkins St, Hamden, CT 06517 | Physician/surgeon | 2003-03-12 ~ 2004-04-30 |
| Sara N Tischer | 19 Walter Dr, Griswold, CT 06351-3541 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sara Jean Quinn | 502 3rd St, Liverpool, NY 13088 | Physician/surgeon | 2018-12-06 ~ 2019-06-30 |
| Sara Kantrow | 1501 Beechwood Ave, Nashville, TN 37212-5516 | Physician/surgeon | ~ |
| Sara H Niego | 195 Taunton Rd, Fairfield, CT 06824-3820 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sara M Zion | 24 Sycamore St, Bronxville, NY 10708-1811 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Sara Rubin Md | 290 Great Oak Rd, Orange, CT 06477-2012 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).