ROMAN J FEDORCIW (Credential# 702195) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ROMAN J FEDORCIW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007706. The credential type is dentist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 80 Shunpike Road, Suite 201, Cromwell, CT 06416. The current status is active.
| Licensee Name | ROMAN J FEDORCIW |
| Credential ID | 702195 |
| Credential Number | 2.007706 |
| Credential Type | Dentist |
| Business Address |
80 Shunpike Road, Suite 201 Cromwell CT 06416 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-06-20 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159945 | CSP.0019376 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 80 Shunpike Road, Suite 201 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Dentist |
| License Type + County | Dentist + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roman Izmailov | 13 P Edison Court, Monsey, NY 10952 | Dentist | 1999-08-25 ~ 2000-09-30 |
| Aleah T Fedorciw | 30 Berkshire Xing, Avon, CT 06001-6100 | Emergency Medical Technician | 2012-10-23 ~ 2015-07-01 |
| Roman A Heston-cook | 430 High Ridge Rd, Stamford, CT 06905 | Dentist | 1999-09-22 ~ 2000-10-31 |
| Roman Khodosh | 300 Winston Drive, Cliffside Park, NJ 07010 | Dentist | 2003-11-06 ~ 2004-09-30 |
| Roman Aronov | 11714 85th Ave Apt B1, Richmond Hill, NY 11418-1816 | Dentist | 2020-06-01 ~ 2021-06-30 |
| Celia M Roman | 117 Paradise Rd Fl 2, Swampscott, MA 01907-1955 | Provisional Faculty Dentist | ~ |
| Samuel Roman · Roman Construction | 64 Steven St, New Haven, CT 06519 | Home Improvement Contractor | 1999-01-25 ~ 1999-11-30 |
| Roman Realty Inc · Century 21 Roman Realty Inc | 225 Bedford St, Stamford, CT 06901-1717 | Real Estate Broker | 2014-04-01 ~ 2015-03-31 |
| Guillermo Roman | 45 Sexton St, New Britain, CT 06051 | Home Improvement Contractor | ~ 1995-04-01 |
| Roman Szewczak · Roman Szewczak Woodworking | 385 Stamm Rd, Newington, CT 06111 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
Please comment or provide details below to improve the information on ROMAN J FEDORCIW.
| 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).