BRUCE A WODA (Credential# 560507) 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.
BRUCE A WODA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042925. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1 Innovation Dr, Worcester, MA 01605-4307. The current status is active.
Licensee Name | BRUCE A WODA |
Credential ID | 560507 |
Credential Number | 1.042925 |
Credential Type | Physician/Surgeon |
Business Address |
1 Innovation Dr Worcester MA 01605-4307 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2004-11-05 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-24 |
Street Address | 1 INNOVATION DR |
City | WORCESTER |
State | MA |
Zip Code | 01605-4307 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Kurian | 1 Innovation Dr, Worcester, MA 01605 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gertrude Mensah | 3 Henry Terrace, Worcester, MA 01605 | Licensed Practical Nurse | ~ |
Azadeh Emam | 509 Plantation St Apt 412, Worcester, MA 01605 | Dentist | 2020-04-01 ~ 2021-03-31 |
Barbera Associates Real Estate LLC | 451 Grove St, Worcester, MA 01605 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
Jacob Robert Bledsoe | 1 Innovation Drive, Biotech 3 Bldg., Room 230, Worcester, MA 01605 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Michael R Barbera | 2 Terrance Dr, Worcester, MA 01605 | Real Estate Broker | ~ |
Mark S Distefano | 292 Lincoln Street, Worcester, MA 01605 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Supriya K. Atianand | 16 Cadorna Road, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Pankaj A. Ksheersagar Md | 119 Belmont Street, Worcester, MA 01605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Golden Group Construction Corp. | 20 Tattan Farm Road, Worcester, MA 01605 | Home Improvement Contractor | 2015-05-22 ~ 2015-11-30 |
Find all Licenses in zip 01605 |
City | WORCESTER |
Zip Code | 01605 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WORCESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Craig Woda | 131 Hillside Ave, Providence, RI 02906 | Physician/surgeon | ~ |
Bruce R Dziura | 39 Lakeview St, Southwick, MA 01077-9610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Bruce Dickerson Md | 41 Thrush Ln, New Canaan, CT 06840 | Physician/surgeon | 2000-01-17 ~ 2001-02-28 |
Bruce S Aldred Md | 651 Gilbert Ave, Hamden, CT 06514 | Physician/surgeon | 1998-12-08 ~ 2000-02-29 |
Bruce Tang | 59 Old Post Rd, Clinton, CT 06413 | Physician/surgeon | 2001-01-16 ~ 2001-04-30 |
Bruce Champagne | 330 E 38th St, New York, NY 10016 | Physician/surgeon | 1998-04-16 ~ 1999-04-30 |
Neil B Bruce | 8 Lynwood Pl Apt 12, New Haven, CT 06511-4759 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Bruce Steven Sachais | 310 E 67th St, New York, NY 10065-6275 | Physician/surgeon | ~ |
Bruce C Zablow Md | 329 Millwood Rd, Chappaqua, NY 10514 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Bruce Kaster | 345 N Main St, West Hartford, CT 06117-2515 | Physician/surgeon | ~ |
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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).