LOUISE G CAUDULLO DO (Credential# 538263) is licensed (Physician/surgeon) 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.
LOUISE G CAUDULLO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000531-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Shoddy Mill Rd, Bolton, CT 06043. The current status is active.
Licensee Name | LOUISE G CAUDULLO DO |
Credential ID | 538263 |
Credential Number | 1.000531-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
11 Shoddy Mill Rd Bolton CT 06043 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-04-23 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
215324 | CSP.0028237 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-05-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 11 SHODDY MILL RD |
City | BOLTON |
State | CT |
Zip Code | 06043 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexandra G Caudullo | 11 Shoddy Mill Rd, Bolton, CT 06043-7817 | Emergency Medical Technician | 2015-07-28 ~ 2018-07-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Munsons Chocolates | 174 Hop River Rd, Bolton, CT 06043 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Darlene L Kearns | 4 Sunset Lane, Bolton, CT 06043 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Michael C Goncalves | 14 Hebron Road, Bolton, CT 06043 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Teresa R Lloyd | 25 Green Hills Road, Bolton, CT 06043 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Marissa A Stefano | 95 Cidermill Road, Bolton, CT 06043 | Real Estate Salesperson | ~ |
Marjorie R Roccoberton | 82 Shoddy Mill Rd., Bolton, CT 06043 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Jacqueline S Lancaster | 96 Volpi Road, Bolton, CT 06043 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Melissa S Mcdaniel | 219 Bolton Center Rd, Bolton, CT 06043 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Thomas A Manning | 18 School Rd, Bolton, CT 06043 | Architect | 2020-08-01 ~ 2021-07-31 |
Sharon D Witham | 12 Westridge Drive, Bolton, CT 06043 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06043 |
City | BOLTON |
Zip Code | 06043 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BOLTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benita Louise Gross | Po Box 196, Bronx, NY 10464-0196 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Louise E Cohen | 103 Round Hill Rd, Armonk, NY 10504 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Louise J Short | 2520 Oak Crossing, Decatur, GA 30033 | Physician/surgeon | 1992-10-23 ~ 1993-06-30 |
Marie-louise Caloustian | 61-25 Bell Blvd, Bayside, NY 11364 | Physician/surgeon | ~ |
Rebecca Louise Kent | 15 Maple St, Irvington, NY 10533-2109 | Physician/surgeon | 2020-06-23 ~ 2020-10-31 |
Diane Louise Dietzen | 39 San Souci Dr, South Hadley, MA 01075 | Physician/surgeon | ~ |
Louise D Mccullough | 5014 Cambridge St, Sugar Land, TX 77479-3969 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Adrienne Louise Hicks | 10 East 138th Street, New York, NY 10037 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
Louise E Daniels | 1838 Ocean Front, Neptune Beach, FL 32266 | Physician/surgeon | 1996-10-28 ~ 1997-07-31 |
Karen Louise Medin | 91 Steep Hollow Drive, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).