SCOTT WOLF DO (Credential# 538100) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SCOTT WOLF DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000365-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1326 Jambalana Ln, Fort Myers, FL 33901-8808. The current status is active.
| Licensee Name | SCOTT WOLF DO |
| Credential ID | 538100 |
| Credential Number | 1.000365-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1326 Jambalana Ln Fort Myers FL 33901-8808 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163078 | CSP.0021065 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1326 JAMBALANA LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8808 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ivelisse Vives Borgos | 2427 E Mall Drive Apt 226, Fort Myers, FL 33901 | Registered Nurse | ~ |
| Allison Boies | 1813 Collier Avenue, Fort Myers, FL 33901 | Notary Public Appointment | 2015-10-19 ~ 2020-10-31 |
| Dawn M Wolf | 1326 Jambalana La, Fort Myers, FL 33901 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Sandra K Knight | 2257 Clifford St, Ft Myers, FL 33901 | Registered Nurse | 2010-11-01 ~ 2011-10-31 |
| Carey S Linker | 3680 Broadway, Fort Myers, FL 33901 | Physician/surgeon | 2001-10-05 ~ 2002-11-30 |
| Antonia E Marrero | 1632 Evans Ave, Fort Myers, FL 33901 | Licensed Practical Nurse | 2006-01-30 ~ 2007-01-31 |
| Daniel R Schwartz | 1126 Tipton Court, Fort Myers, FL 33901 | Physician/surgeon | 2003-10-20 ~ 2004-11-30 |
| Jannette Nieves | 2427 East Mall Dr., Fort Myers, FL 33901 | Hairdresser/cosmetician | 2006-02-21 ~ 2008-04-30 |
| Tracey A Henault | 3910 Central Av #307, Fort Myers Bch, FL 33901 | Registered Nurse | 1996-04-19 ~ 1997-05-31 |
| Stuart A Bobman | 3680 Broadway, Fort Myers, FL 33901 | Physician/surgeon | 2001-04-27 ~ 2002-05-31 |
| Find all Licenses in zip 33901 | |||
| City | FORT MYERS |
| Zip Code | 33901 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FORT MYERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric R Wolf | 410 Blake Rd, Alpharetta, GA 30022-4416 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Arthur D Wolf Md | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2002-02-27 ~ 2003-02-28 |
| Robert L Wolf | 29 G Swan Ct, North Providence, RI 02904 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Dennis E Wolf | 1 Rock Ridge Dr, Rye Brook, NY 10573-1213 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Ahron Aviv Wolf | 17601 Nw 2nd Ave, Miami, FL 33169 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Linda D Wolf | 1344 Via Terrassa, Encinitas, CA 92024-5333 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Wolf A Vogel Md | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer M Wolf Md | University of Connecticut, Farmington, CT 06030-0001 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Kanwal Merchant | 42 Wolf Rd Unit 724, Lebanon, NH 03766-1938 | Physician/surgeon | 2014-06-19 ~ 2014-10-31 |
| Majid Ghazi | 40 Wolf Road, #16, Lebanon, NH 03766 | Physician/surgeon | 2002-06-24 ~ 2003-05-31 |
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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).