CHARLES L WOODRUFF (Credential# 562634) 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.
CHARLES L WOODRUFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045052. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 336 Foxhound Drive, Lafayette Hill, PA 19444. The current status is active.
Licensee Name | CHARLES L WOODRUFF |
Credential ID | 562634 |
Credential Number | 1.045052 |
Credential Type | Physician/Surgeon |
Business Address |
336 Foxhound Drive Lafayette Hill PA 19444 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-01-22 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-06 |
Street Address | 336 Foxhound Drive |
City | Lafayette Hill |
State | PA |
Zip Code | 19444 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fresh Artists | 4115 Hain Drive, Lafayette Hill, PA 19444 | Public Charity | 2020-08-01 ~ 2021-07-31 |
Michael J Thomas | 20 Forsythia Court, Lafayette Hill, PA 19444 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
505a-507 Germantown Pike Associates LLC | 446 Germantown Pike, Box 145, Lafayette Hill, PA 19444 | Securities - Exemptions | 2019-11-15 ~ |
Jaeho D Chae | 112 Andorra Glen Court, Lafayette Hill, PA 19444 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Joshua W Chapman | 509 Germantown Pike, Lafayette Hill, PA 19444 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
Rosemary E Falvey | 3007 Rebel Rd, Lafayette, PA 19444 | Registered Nurse | 2003-03-20 ~ 2004-05-31 |
Genevieve N Khan | 42 Viburnum Ct, Lafayette Hill, PA 19444 | Registered Nurse | 2005-12-12 ~ 2007-01-31 |
Bradley D Fullerton | 616 Lincoln Woods, Lafayette Hills, PA 19444 | Physician/surgeon | 1981-01-01 ~ 1994-07-31 |
Fredericka Tate Md | 122 Foxhound Dr, Lafayette Hill, PA 19444-1031 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Merakey Foundation · Nhs Human Services Foundation | 620 E. Germantown Pike, Lafayette Hill, PA 19444-1810 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Find all Licenses in zip 19444 |
City | Lafayette Hill |
Zip Code | 19444 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Lafayette Hill |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Indroneil Mukerji | 174 Woodruff Ave, Scarsdale, NY 10583-5542 | Physician/surgeon | ~ |
Alexis C Woodruff | 311 Greene St, New Haven, CT 06511 | Physician/surgeon | 1995-08-11 ~ 1996-08-31 |
Sanjay Mittal | 65 Woodruff Road, Farmington, CT 06032-2025 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Laura K Silk Md | 24 Woodruff Rd, West Hartford, CT 06107 | Physician/surgeon | 2006-07-17 ~ 2007-06-30 |
Christina Marie Gutierrez | 100 Woodruff Circle, Atlanta, GA 30322 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
Charles A Mauriello | P.o Box 570, Villanova, PA 19085 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | 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).