HENRY J TAYLOR IV (Credential# 1512483) is licensed (Resident Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
HENRY J TAYLOR IV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.001014-RES. The credential type is resident podiatrist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 950 Campbell Ave, West Haven, CT 06516-2770. The current status is active.
| Licensee Name | HENRY J TAYLOR IV |
| Credential ID | 1512483 |
| Credential Number | 19.001014-RES |
| Credential Type | Resident Podiatrist |
| Credential SubCategory | RES |
| Business Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1516838 | CSP.0068238 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Zegarek | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brittany L Hervey | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Asim Farooq Durrani | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Shuba Rodrigues Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jitendranath Lakshmipathy Do | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Suzanne D Finkel | 950 Campbell Ave, West Haven, CT 06516-2770 | Audiologist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura J Davis | 950 Campbell Ave # 240, West Haven, CT 06516-2770 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elissa Mccarthy | 950 Campbell Ave Bldg 1, West Haven, CT 06516-2770 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Jeffrey H Kerner | West Haven Va Hospital, West Haven, CT 06516-2770 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Niyati Dhand | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-07-13 ~ 2019-02-28 |
| Kathleen L Broad | 950 Campbell Ave Rm 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dana R. Saldaitis | 950 Campbell Ave Acsl 11, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Chui | 950 Campbell Ave Bldg 35a, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gihyun Yoon | 950 Campbell Ave Bldg. 35 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roopa Sethi | 950 Campbell Ave # 151-d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Resident Podiatrist |
| License Type + County | Resident Podiatrist + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry Borrelli | 32 Jefferson St, Nutley, NJ 07110 | Podiatrist | 2000-08-29 ~ 2001-05-31 |
| Henry S Gross | 80 Grove St, Ridgefield, CT 06877-4104 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Ian Richter | 153 Montague Rd, Shutesbury, MA 01072-9717 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Ryan Slepoy | 267 Grant St., Bridgeport, CT 06610 | Resident Podiatrist | 2018-06-25 ~ 2021-06-30 |
| Matthew M D'angelo | 385 Coe Ave Apt 2, East Haven, CT 06512-4178 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Joseph R Fleck | 24 Park Pl Apt 5a, Hartford, CT 06106-5020 | Resident Podiatrist | 2018-07-01 ~ 2021-06-30 |
| Jeffrey Novak | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Podiatrist | 2018-06-25 ~ 2021-06-30 |
| Kevin Jiang | 33 Willard St Apt 1b, New Haven, CT 06515-2152 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Michael P Harrington | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2018-07-01 ~ 2021-06-30 |
| Sruti Karwa | 21 Tamarack Trl, Hartsdale, NY 10530-3608 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
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| 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).