EDWIN A SPATH JR (Credential# 543340) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2013. The license expiration date date is May 31, 2014. The license status is INACTIVE.
EDWIN A SPATH JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020489. The credential type is physician/surgeon. The effective date is June 1, 2013. The expiration date is May 31, 2014. The business address is 859 Prospect Ave, W Hartford, CT 06105-4229. The current status is inactive.
| Licensee Name | EDWIN A SPATH JR |
| Credential ID | 543340 |
| Credential Number | 1.020489 |
| Credential Type | Physician/Surgeon |
| Business Address |
859 Prospect Ave W Hartford CT 06105-4229 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1978-06-28 |
| Effective Date | 2013-06-01 |
| Expiration Date | 2014-05-31 |
| Refresh Date | 2014-09-03 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edwin A Spath Jr | 1000 Asylum Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Street Address | 859 PROSPECT AVE |
| City | W HARTFORD |
| State | CT |
| Zip Code | 06105-4229 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | W HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + W HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Niles F Greenhouse | 119 Spath Road, Mexico, NY 13114 | Physician/surgeon | 1979-03-29 ~ 1988-08-31 |
| Spath Construction Co Inc | 5 Dusty Lane, Newtown, CT 06470 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
| Spath Construction Co Inc | 5 Dusty Ln, Newtown, CT 06470 | Demolition Contractor | 2019-07-01 ~ 2020-06-30 |
| Edwin Oh | 241 Hamilton Ave, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edwin Raffi | 339 Massachusetts Ave, Arlington, MA 02474-6718 | Physician/surgeon | ~ |
| Edwin W Lojeski Do | 310 Dakota Rd, Hailey, ID 83333 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Edwin D Williamson Md | 88 Cottage St Apt 1, New Haven, CT 06511-2404 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Edwin V Tan | 720 West 170th St, New York, NY 10032 | Physician/surgeon | 1996-02-26 ~ 1997-02-28 |
| Edwin D Lacuanan | 3 Demartino Ave, Yonkers, NY 10703 | Physician/surgeon | 1996-08-05 ~ 1997-07-31 |
| Edwin H Dombrowski Md | Po Box 4201, Surf City, NC 28445 | Physician/surgeon | 1997-03-12 ~ 1998-04-30 |
Please comment or provide details below to improve the information on EDWIN A SPATH 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).