GEDION ATNAFU MD (Credential# 561584) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 4, 2006. The license expiration date date is December 31, 2006. The license status is INACTIVE.
GEDION ATNAFU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044002. The credential type is physician/surgeon. The effective date is January 4, 2006. The expiration date is December 31, 2006. The business address is 139 Fairway Cir, Baldwinsville, NY 13027-3360. The current status is inactive.
| Licensee Name | GEDION ATNAFU MD |
| Credential ID | 561584 |
| Credential Number | 1.044002 |
| Credential Type | Physician/Surgeon |
| Business Address |
139 Fairway Cir Baldwinsville NY 13027-3360 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-01-04 |
| Effective Date | 2006-01-04 |
| Expiration Date | 2006-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 404091 | CSP.0037416 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 139 FAIRWAY CIR |
| City | BALDWINSVILLE |
| State | NY |
| Zip Code | 13027-3360 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alec Williams | 8621 Wrenwood Cir, Baldwinsville, NY 13027 | Emergency Medical Technician | ~ |
| Danielle Sordelet | 122 Fairway Circle, Baldwinsville, NY 13027 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Olga Zacepa | 3045 Village Boulevard South, Baldwinsville, NY 13027 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| John P Doody | 3308 Misty Cove Circle, Baldwinsville, NY 13027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marijill A. Nicholson | 8604 Wrenwood Circle, Baldwinsville, NY 13027 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Kristen Mary Foley-curtis | 2716 Hiltonwood Rd, Baldwinsville, NY 13027 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| George S Nagle | 3453 Stanford Drive, Baldwinsville, NY 13027 | Professional Engineer | 1993-01-22 ~ 1994-01-31 |
| Suzanne L Giltz | 6318 Killoe Road, Baldwinsville, NY 13027 | Real Estate Salesperson | 2011-06-01 ~ 2012-05-31 |
| John I Crawford · Bryant Assoc P C | 8680 Letchworth La, Baldwinsville, NY 13027 | Professional Engineer | 1988-01-25 ~ 1989-01-31 |
| Michael S Kolceski | 7673 E Dead Creek Rd, Baldwinsville, NY 13027 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
| Find all Licenses in zip 13027 | |||
| City | BALDWINSVILLE |
| Zip Code | 13027 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BALDWINSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on GEDION ATNAFU MD.
| 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).