CHRISTOFER J FORT (Credential# 1414495) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CHRISTOFER J FORT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056411. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 63 Newfield Ave, Waterbury, CT 06708. The current status is active.
| Licensee Name | CHRISTOFER J FORT |
| Credential ID | 1414495 |
| Credential Number | 1.056411 |
| Credential Type | Physician/Surgeon |
| Business Address |
63 Newfield Ave Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1229691 | CSP.0057422 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 63 Newfield Ave |
| City | Waterbury |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | Waterbury |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Waterbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Di Shi | 6 Horizon Rd, Fort Lee, NJ 07024-6652 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Tariq Saleem | Po Box 583, Fort Belvoir, VA 22060 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
| Chaidong Cho | 200 Old Palisade Road, Fort Lee, NJ 07024 | Physician/surgeon | 2006-11-22 ~ 2007-12-31 |
| Marcelo Y Nabong Jr. | 204 Mcelroy Ave, Fort Lee, NJ 07024 | Physician/surgeon | 2006-05-15 ~ 2007-07-31 |
| Duhwan Kang | 1600 Center Ave Apt 11b, Fort Lee, NJ 07024-4712 | Physician/surgeon | ~ |
| Hadi R Tajani | 800 8th Ave, Fort Worth, TX 76104 | Physician/surgeon | 1995-02-06 ~ 1996-02-29 |
| Elizabeth J Isalguez | 617 Sw 8th Ter, Fort Lauderdale, FL 33315-1049 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Beth Schrope | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Olga Yevsikova | 1590 Anderson Ave Apt 5a, Fort Lee, NJ 07024-2707 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on CHRISTOFER J FORT.
| 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).