CHARLES J ROUSE (Credential# 1190096) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CHARLES J ROUSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052907. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 184 Summer St Apt 2209, Stamford, CT 06901-2373. The current status is active.
| Licensee Name | CHARLES J ROUSE |
| Credential ID | 1190096 |
| Credential Number | 1.052907 |
| Credential Type | Physician/Surgeon |
| Business Address |
184 Summer St Apt 2209 Stamford CT 06901-2373 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 951787 | CSP.0048711 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1490946 | 1.059048-RES | Resident Physician | 2013-07-30 | 2013-07-30 - 2019-06-30 | INACTIVE |
| Street Address | 184 SUMMER ST APT 2209 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-2373 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen M Rouse | 36 Watson St, Willimantic, CT 06226 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jacob Carl Rouse | 400 East Main Street, Mount Kisco, NY 10549 | Physician/surgeon | 2020-02-13 ~ 2020-04-30 |
| Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
| 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 | ~ |
| Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
| Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
| Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
| Charles P Alexander Md | 107 John St, Southport, CT 06890-1466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on CHARLES J ROUSE.
| 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).