ANDREA J ROCK (Credential# 1000680) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
ANDREA J ROCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050198. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 30 Lyon St # 3, New Haven, CT 06511-4926. The current status is inactive.
| Licensee Name | ANDREA J ROCK |
| Credential ID | 1000680 |
| Credential Number | 1.050198 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Lyon St # 3 New Haven CT 06511-4926 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-08-04 |
| Effective Date | 2012-06-01 |
| Expiration Date | 2013-05-31 |
| Refresh Date | 2013-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 511342 | CSP.0044302 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-18 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 30 LYON ST # 3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4926 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Im Possible Project Inc | 26 Lyon St Apt 3, New Haven, CT 06511-4926 | Public Charity-exempt From Financial Requirements | 2015-06-01 ~ |
| Ahmad N Saad | 14 Lyon St # 3, New Haven, CT 06511-4926 | Controlled Substance Registration for Practitioner | 2011-04-21 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Vidali | 41 S 5th St Apt 11, Brooklyn, NY 11249-8417 | Physician/surgeon | ~ |
| Andrea C Lin | 9 N Gate Rd, Carmel, NY 10512-2213 | Physician/surgeon | 2010-09-09 ~ 2011-06-30 |
| Wen-ray T Hsu | 18 Andrea Lane, Scarsdale, NY 10583 | Physician/surgeon | 2007-12-19 ~ 2008-10-31 |
| Andrea J Shaer | 118 Mattahasset Dr, Meriden, CT 06450 | Physician/surgeon | ~ 1996-10-31 |
| Andrea J Needleman | 4 So Pomperaug Ave, Woodbury, CT 06798 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Dana Salomy | 24 Andrea Ln, Scarsdale, NY 10583-3116 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Andrea B Lese | 301 Central Ave Ne, Albuquerque, NM 87102-3885 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
| Andrea Schaffner | 147 Westbrook Rd, Essex, CT 06426-1512 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrea C Tavlan | 20 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Andrea G Asnes | 324 Yale Ave, New Haven, CT 06515-2233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ANDREA J ROCK.
| 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).