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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
150998 | CSP.0010842 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 410 BLAKE RD |
City | ALPHARETTA |
State | GA |
Zip Code | 30022-4416 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 30022 |
City | ALPHARETTA |
Zip Code | 30022 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ALPHARETTA |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric A Hyson Md | 1067 Wolf Hill Rd, Cheshire, CT 06410-1732 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Arthur D Wolf Md | 85 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2002-02-27 ~ 2003-02-28 |
Jennifer M Wolf Md | University of Connecticut, Farmington, CT 06030-0001 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Joseph James Wolf | 100 Grand St Fl 1, New Britain, CT 06052-2016 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kenneth M Lury | 214 Red Wolf, Blowing Rock, NC 28605-9174 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
Kanwal Merchant | 42 Wolf Rd Unit 724, Lebanon, NH 03766-1938 | Physician/surgeon | 2014-06-19 ~ 2014-10-31 |
Ahron Aviv Wolf | 17601 Nw 2nd Ave, Miami, FL 33169 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Linda D Wolf | 1344 Via Terrassa, Encinitas, CA 92024-5333 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
Wolf A Vogel Md | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7623 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Majid Ghazi | 40 Wolf Road, #16, Lebanon, NH 03766 | Physician/surgeon | 2002-06-24 ~ 2003-05-31 |
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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).