JENNIFER M WOLF MD (Credential# 932096) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
JENNIFER M WOLF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048952. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is University of Connecticut, Farmington, CT 06030-0001. The current status is inactive.
| Licensee Name | JENNIFER M WOLF MD |
| Credential ID | 932096 |
| Credential Number | 1.048952 |
| Credential Type | Physician/Surgeon |
| Business Address |
University of Connecticut Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-06-30 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2017-06-30 |
| Refresh Date | 2017-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 942798 | CSP.0047950 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-13 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | UNIVERSITY OF CONNECTICUT |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anisha Mandava | University of Connecticut, Farmington, CT 06030 | Physician/surgeon | 2009-06-01 ~ 2010-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arthur D Wolf Md | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2002-02-27 ~ 2003-02-28 |
| Eric R Wolf | 410 Blake Rd, Alpharetta, GA 30022-4416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Ahron Aviv Wolf | 17601 Nw 2nd Ave, Miami, FL 33169 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph James Wolf | 100 Grand St Fl 1, New Britain, CT 06052-2016 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kenneth M Lury | 214 Red Wolf, Blowing Rock, NC 28605-9174 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Linda D Wolf | 1344 Via Terrassa, Encinitas, CA 92024-5333 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Kanwal Merchant | 42 Wolf Rd Unit 724, Lebanon, NH 03766-1938 | Physician/surgeon | 2014-06-19 ~ 2014-10-31 |
| Robert L Wolf | 29 G Swan Ct, North Providence, RI 02904 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Wolf A Vogel Md | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Majid Ghazi | 40 Wolf Road, #16, Lebanon, NH 03766 | Physician/surgeon | 2002-06-24 ~ 2003-05-31 |
Please comment or provide details below to improve the information on JENNIFER M WOLF 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).