PHILIP J BAKODY (Credential# 1521515) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 3, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PHILIP J BAKODY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0068620. The credential type is controlled substance registration for practitioner. The effective date is December 3, 2018. The expiration date is February 28, 2021. The business address is 6814 W Desert Creek Rd, Tucson, AZ 85743. The current status is active.
| Licensee Name | PHILIP J BAKODY |
| Credential ID | 1521515 |
| Credential Number | CSP.0068620 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6814 W Desert Creek Rd Tucson AZ 85743 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-03 |
| Effective Date | 2018-12-03 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1521468 | 1.062135 | Physician/Surgeon | 2018-12-03 | 2018-12-03 - 2019-12-31 | INACTIVE |
| Street Address | 6814 W DESERT CREEK RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85743 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rhonda L Sawyer | 9849 N Majestic Vista Ln, Tucson, AZ 85743 | Physician Assistant | 2019-09-01 ~ 2020-08-31 |
| Cassandra Amethyst Cortez | 7792 W Running Bear Drive, Tucson, AZ 85743 | Registered Nurse - Temporary | 2018-02-21 ~ 2018-06-20 |
| Carmella Stanizzi | 6650 North Taylor Lane, Tuzson, AZ 85743 | Hairdresser/cosmetician | 2012-09-01 ~ 2014-08-31 |
| Anthony M Ferrigno | 7648 North Quail, Tucson, AZ 85743 | Hairdresser/cosmetician | 1996-08-29 ~ 1997-09-30 |
| Julia M Ramos-grenier | 7991 N. Gilspie Lane, Tucson, AZ 85743 | Psychologist | 2006-08-17 ~ 2007-10-31 |
| Cynthia L O'brien | 7629 W. Desert Spirits Drive, Tucson, AZ 85743 | Registered Nurse | 2004-10-19 ~ 2005-10-31 |
| Shaun M Pierce | 6780 N Bobcat Lane, Tucson, AZ 85743 | Electrical Unlimited Journeyperson | 2004-02-19 ~ 2004-09-30 |
| Stephen T Carpenter | 7412 W Tyler Pl, Tucson, AZ 85743-1167 | Medical Gas & Vacuum Systems Journeyperson | 2016-11-01 ~ 2017-10-31 |
| Monica R. Gustafson | 8921 N Magenta Way, Tucson, AZ 85743-5117 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
| Keith D Duncan | 7639 W August Moon Pl, Tucson, AZ 85743-5257 | Real Estate Broker | ~ |
| Find all Licenses in zip 85743 | |||
| City | TUCSON |
| Zip Code | 85743 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TUCSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Y Wai | 100 Temple St Apt 202, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2006-03-28 ~ 2007-02-28 |
| Philip A Frick | Po Box 719, Niantic, CT 06357-0719 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip G Ong | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Philip M Manger | 265 College St 12q, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2004-10-13 ~ 2005-02-28 |
| Philip P Mcgeoghan Jr | 418 Meadow St., Agawam, MA 01001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Philip R Pinter | 278 Vernon St, Manchester, CT 06042-3418 | Controlled Substance Registration for Practitioner | 2019-12-03 ~ 2021-02-28 |
| Philip S Kurzman | 431 Whitney Ave Apt B2, New Haven, CT 06511-2330 | Controlled Substance Registration for Practitioner | 2008-09-12 ~ 2009-02-28 |
| Philip Brunquell | 100 Ladyslipper Ln, Glastonbury, CT 06033-1740 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip A March | 6 Highland Sq, Avon, CT 06001-3309 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Philip S Heilpern Md | Stone Mountain, GA 30087 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on PHILIP J BAKODY.
| 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).