ERIC R WOLF
Physician/surgeon


Address: 410 Blake Rd, Alpharetta, GA 30022-4416

ERIC R WOLF (Credential# 544646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

ERIC R WOLF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023620. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 410 Blake Rd, Alpharetta, GA 30022-4416. The current status is inactive.

Basic Information

Licensee Name ERIC R WOLF
Credential ID 544646
Credential Number 1.023620
Credential Type Physician/Surgeon
Business Address 410 Blake Rd
Alpharetta
GA 30022-4416
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-06-07
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
150998 CSP.0010842 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 410 BLAKE RD
City ALPHARETTA
State GA
Zip Code 30022-4416

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Nitasha N Turner 165 Shoreline Walk, Alpharetta, GA 30022 Hairdresser/cosmetician 2020-06-01 ~ 2022-05-31
Terry L Herr 3000 Royal Boulevard South, Alpharetta, GA 30022 Architect 2018-08-01 ~ 2019-07-31
Jp Northeast Inc 135 Parkside Close, Alpharetta, GA 30022 Real Estate Broker 2019-04-01 ~ 2020-03-31
Caitlin Bryn Mccarthy 510 Clarinbridge Way, Alpharetta, GA 30022 Certified Public Accountant Certificate 2019-01-01 ~ 2019-12-31
Bernadette V Gay 245 Lirac Ct, Alpharetta, GA 30022 Pharmacy Technician 2020-04-01 ~ 2021-03-31
Ashley Jordan Gaillard 5050 Red Robin Ridge, Alpharetta, GA 30022 Physical Therapist 2019-03-14 ~ 2019-09-30
Tracy Allison Brown 10900 Wittenridge Drive, Alpharetta, GA 30022 Registered Nurse 2020-01-01 ~ 2020-12-31
James N Ledyard 375 Rosalie Court, Alpharetta, GA 30022 Professional Engineer 2020-02-01 ~ 2021-01-31
Elizabeth Marie Dixon 4025 Anson Ave., Alpharetta, GA 30022 Physician/surgeon 2019-11-01 ~ 2020-10-31
Barbara A Johnson 4400 Pemberton Cove, Alpharetta, GA 30022 Registered Nurse 2019-10-01 ~ 2020-09-30
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Competitor

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City ALPHARETTA
Zip Code 30022
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ALPHARETTA

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Dataset Information

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).

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