JACK M DODICK (Credential# 543425) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 26, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.
JACK M DODICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.020654. The credential type is physician/surgeon. The effective date is April 26, 2018. The expiration date is March 31, 2019. The business address is 535 Park Ave, New York, NY 10021. The current status is inactive.
Licensee Name | JACK M DODICK |
Credential ID | 543425 |
Credential Number | 1.020654 |
Credential Type | Physician/Surgeon |
Business Address |
535 Park Ave New York NY 10021 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1978-08-10 |
Effective Date | 2018-04-26 |
Expiration Date | 2019-03-31 |
Refresh Date | 2019-07-04 |
Street Address | 535 PARK AVE |
City | NEW YORK |
State | NY |
Zip Code | 10021 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 10021 |
City | NEW YORK |
Zip Code | 10021 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laurence T Dodick Sperber | 28 Cayuga Road, Scarsdale, NY 10583 | Physician/surgeon | ~ 1998-06-30 |
Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Jack F Wilder | 363 Shore Rd, Greenwich, CT 06830 | Physician/surgeon | 1998-01-30 ~ 1999-01-31 |
Jack Zweig | 145 Vaneck Dr., New Rochelle, NY 10804 | Physician/surgeon | 1967-09-18 ~ 1982-06-30 |
Jack H Pincus | Pca Century, Tampa, FL 33607 | Physician/surgeon | 1993-04-23 ~ 1994-04-30 |
Jack Hajjar Md | 169 South Rd, Farmington, CT 06032 | Physician/surgeon | 2001-05-08 ~ 2002-06-30 |
Jack L Baldasar | 220 Oxford Dr, Tenafly, NJ 07670-3118 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Jack M Charney | Cblpath, Inc., Rye Brook, NY 10573 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jack J Forest Md | 111 Harbor Rd, Westport, CT 06880 | Physician/surgeon | 2006-05-23 ~ 2007-04-30 |
Jack A Miller | 384 West Rd, Alford, MA 01266 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).