EDWARD L PENDAGAST JR (Credential# 539481) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
EDWARD L PENDAGAST JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.009610. The credential type is physician/surgeon. The effective date is June 25, 2002. The expiration date is August 31, 2003. The business address is 94 Burr St, Easton, CT 06612. The current status is inactive.
| Licensee Name | EDWARD L PENDAGAST JR |
| Credential ID | 539481 |
| Credential Number | 1.009610 |
| Credential Type | Physician/Surgeon |
| Business Address |
94 Burr St Easton CT 06612 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1959-07-31 |
| Effective Date | 2002-06-25 |
| Expiration Date | 2003-08-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148252 | CSP.0008407 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 94 BURR ST |
| City | EASTON |
| State | CT |
| Zip Code | 06612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elisabeth O Burns | 94 Burr St, Easton, CT 06612-1616 | Professional Engineer | 2020-02-05 ~ 2021-01-31 |
| Greenfield Custom Grounds Mgmnt LLC | 94 Burr St, Easton, CT 06612 | Home Improvement Contractor | 2003-12-18 ~ 2004-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy L Belanger | 140 Stepney Road, Easton, CT 06612 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Gwen C Easdon | 888 Sport Hill Rd, Easton, CT 06612 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Jessica Lynne Oliver | 4 Lilac Lane, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sarah E Grega | 412 Sport Hill Road, Easton, CT 06612 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pierre H Estime Do | 45 Meadow Ridge Drive, Easton, CT 06612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Ann Liik | 1092 Black Rock Turnpike, Easton, CT 06612 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Stephen Izzo · H. Roark Woodworking | 56 Burr Street, Easton, CT 06612 | Home Improvement Contractor | 2020-06-16 ~ 2020-11-30 |
| Louise Weintraub Linsky | 45 Ridgeway Road, Easton, CT 06612 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Ewa B Dembosky | 14 Crescent Drive, Easton, CT 06612 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Andrew S Nemergut | 706 North Park Avenue, Easton, CT 06612 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06612 | |||
| City | EASTON |
| Zip Code | 06612 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EASTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Edward M Turpin | 1 S Prospect St, Burlington, VT 05401-3456 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Yan G Fan | 487 Edward H Ross Dr, Elmwood Park, NJ 07407-3127 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Edward B Schlesinger | 710 W 168th St, New York, NY 10032 | Physician/surgeon | 1996-07-18 ~ 1997-09-30 |
| Edward Jacobson | 1 Perryridge Rd, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on EDWARD L PENDAGAST JR.
| 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).