THOMAS E GENDRACHI JR
Physician/surgeon


Address: 3748 Burbank Lane, Winston-salem, NC 27106

THOMAS E GENDRACHI JR (Credential# 558042) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.

Business Overview

THOMAS E GENDRACHI JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040459. The credential type is physician/surgeon. The effective date is March 26, 2007. The expiration date is April 30, 2008. The business address is 3748 Burbank Lane, Winston-salem, NC 27106. The current status is inactive.

Basic Information

Licensee Name THOMAS E GENDRACHI JR
Credential ID 558042
Credential Number 1.040459
Credential Type Physician/Surgeon
Business Address 3748 Burbank Lane
Winston-salem
NC 27106
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-05-23
Effective Date 2007-03-26
Expiration Date 2008-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
434686 CSP.0039009 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-05-05 2007-03-01 - 2008-02-29 INACTIVE
313402 CSP.0032350 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 3748 BURBANK LANE
City WINSTON-SALEM
State NC
Zip Code 27106

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lisa D Chisolm-ellis 2147 Jamestown Rd, Winston-salem, NC 27106 Registered Nurse 2020-07-01 ~ 2021-06-30
Erin Kelly Puttkammer 769 Lynn Dee Dr., Winston Salem, NC 27106 Registered Nurse 2020-06-01 ~ 2021-05-31
Jessica Moulton Spear 4604 Bay Creek Dr., Winston Salem, NC 27106 Registered Nurse 2020-01-01 ~ 2020-12-31
Robert L Cestero 4133 Mill Creek Rd., Winston Salem, NC 27106 Electrical Unlimited Contractor 2018-10-01 ~ 2019-09-30
Peter E Avetta 4230 Prestwick Crossing, Winston-salem, NC 27106 Architect 2016-08-01 ~ 2017-07-31
Moravian Home Incorporated 200 Salemtown Drive, Winston-salem, NC 27106 Public Charity-exempt From Financial Requirements ~
Lecil Alexander · Gang-nail Systems Inc 2060 Heidelbury Dr, Winston Salem, NC 27106 Professional Engineer 1989-03-16 ~ 1990-01-31
Brenda A Scronce 1501 Boxthorne Lane, Winston Salem, NC 27106 Physician Assistant 2000-12-19 ~ 2002-02-28
Danielle M Surrells 1650 Woods Road, Winston Salem, NC 27106 Registered Nurse 2002-11-22 ~ 2003-07-31
Tracy M Schmidt 4690 Murray Road, Winston-salem, NC 27106 Registered Nurse 2008-02-21 ~ 2008-08-31
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City WINSTON-SALEM
Zip Code 27106
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Dataset Information

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).

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