RICHARD L MAENZA (Credential# 1262028) 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.
RICHARD L MAENZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054059. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 4535 Dressler Rd Nw, Canton, OH 44718-2545. The current status is active.
| Licensee Name | RICHARD L MAENZA |
| Credential ID | 1262028 |
| Credential Number | 1.054059 |
| Credential Type | Physician/Surgeon |
| Business Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-23 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1264742 | CSP.0059328 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-24 | 2017-04-04 - 2019-02-28 | LAPSED |
| Street Address | 4535 DRESSLER RD NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2545 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susan Philipose | 4535 Dressler Rd Nw, Canton, OH 44646 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mamie Caton | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Raymundo Forcada-lowrie | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael Yeh | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shehma Khan | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lauren Sokolik | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joshua Colvin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
| Daniel Engelberg | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-12-10 ~ 2021-02-28 |
| Monique C Cunin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Controlled Substance Registration for Practitioner | 2019-07-25 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dominic J Bagnoli Jr. | 4535 Dressler Road N.w., Canton, OH 44718 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Valerie J. De Maio | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David C Packo | Emergency Medicine Physicans, Canton, OH 44718 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Heather R. Godale | Emergency Medicine Physicians, Canton, OH 44718 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
| Stephen J Sanofsky | 2930 Sussex Nw, Canton, OH 44718 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Ghassan H Kabbara | 6615 Knightsbridge Ave Nw, Canton, OH 44718 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| William D Morrison | 5958 Shakertown Dr, Canton, OH 44718 | Respiratory Care Practitioner | 1999-05-27 ~ 2000-05-31 |
| Monty R Reed | 5522 West Blvd Nw, Canton, OH 44718 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
| Jeremy D Tucker | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CANTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ronald M Maenza | 805 Hollow Rdad, Radnor, PA 19087-2805 | Physician/surgeon | 1999-04-01 ~ 2000-05-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Richard A Fraser | 5 Ellis Ct, Rye, NY 10580 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard P. Goldmann | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | ~ |
| Richard M Gottlieb | Po Box 718, Sharon, CT 06069-0718 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Richard Lee | 163 Third Avenue, New York, NY 10003 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
Please comment or provide details below to improve the information on RICHARD L MAENZA.
| 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).