JANE E H RUDOLPH MD (Credential# 155106) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JANE E H RUDOLPH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010972. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 179 Roseland Avenue, Waterbury, CT 06710. The current status is active.
| Licensee Name | JANE E H RUDOLPH MD |
| Credential ID | 155106 |
| Credential Number | CSP.0010972 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
179 Roseland Avenue Waterbury CT 06710 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544724 | 1.023752 | Physician/Surgeon | 1982-07-19 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 179 ROSELAND AVENUE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claire A Free Md | 25 Columbia Blvd, Waterbury, CT 06710 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jayni M Alvarez | 196 Cooke Street, Waterbury, CT 06710 | Eyelash Technician | ~ |
| Becky Mayer | 4 Kenilworth St, Waterbury, CT 06710 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Waterbury Pizza House LLC | 701 Cooke St, Waterbury, CT 06710 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deaja Sands | 14 Columbia Blvd, Waterbury, CT 06710 | Medication Administration Certification | 2020-06-18 ~ 2022-06-18 |
| Lee M Zarrelli | 170 Roseland Ave, Waterbury, CT 06710 | Plumbing & Piping Unlimited Journeyperson | 2019-11-14 ~ 2020-10-31 |
| Cindy J Dove | 102 Waverly Street, Waterbury, CT 06710 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Paul D Murphy | 109 Willow St, Waterbury, CT 06710 | Embalmer | 2020-09-01 ~ 2021-08-31 |
| Marianne Smith | 86 White St, Waterbury, CT 06710 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ariel Najia Goodman | 84 Oakland Ave., Waterbury, CT 06710 | Esthetician | ~ |
| Find all Licenses in zip 06710 | |||
| City | WATERBURY |
| Zip Code | 06710 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ruey-jane Jane Wu | 11 South Rd, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth Krynicki | 45 Rudolph Rd, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rudolph J Ross Md | 149 Bailey Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Rudolph H Passero Dmd | 161 East Ave #201, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Jennifer L Rudolph | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2010-06-02 ~ 2011-02-28 |
| Daniel Rudolph | Pulmonary and Int Medicine, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rudolph F Taddonio | Stamford Hospital Orthopaedic & Spine Institute, Stamford, CT 06902-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane F Moysak Aprn | 68 Rye Rd, Rye, NY 10580-2228 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Emily Jane Uy | 486 Oak Ave, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2018-12-19 ~ 2021-02-28 |
| Jane C Chi Md | 454 B1 Willard Ave, Newington, CT 06111 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on JANE E H RUDOLPH MD.
| 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).