ROBERT INNIS MD (Credential# 544713) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 19, 2001. The license expiration date date is June 30, 2002. The license status is INACTIVE.
ROBERT INNIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023729. The credential type is physician/surgeon. The effective date is April 19, 2001. The expiration date is June 30, 2002. The business address is Va Medical Ctr 116a2, West Haven, CT 06516. The current status is inactive.
| Licensee Name | ROBERT INNIS MD |
| Credential ID | 544713 |
| Credential Number | 1.023729 |
| Credential Type | Physician/Surgeon |
| Business Address |
Va Medical Ctr 116a2 West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-07-09 |
| Effective Date | 2001-04-19 |
| Expiration Date | 2002-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144860 | CSP.0010952 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | VA MEDICAL CTR 116A2 |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nelson A Bonheim | 12 Innis Ln, Old Greenwich, CT 06870-1706 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Mark A Innis | 3636 High Street, Portsmoth, VA 23707 | Physician/surgeon | 2019-10-02 ~ 2020-08-31 |
| William Innis · Innis Designs In Wood | 207 Westbrook Rd, Essex, CT 06426 | Home Improvement Contractor | 2005-09-15 ~ 2005-11-30 |
| Innis Arden Golf | 120 Tomac Ave, Old Greenwich, CT 06870-1818 | Non Profit Club Liquor | 2020-02-23 ~ 2021-06-22 |
| Robert G Sur | 25 Innis Lane, Old Greenwich, CT 06870 | Notary Public Appointment | 1998-06-01 ~ 2003-05-31 |
| Innis Designs In Wood LLC | 207 Westbrook Rd, Essex, CT 06426 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Innis & Gunn Rum Aged | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-07-28 ~ 2022-07-26 |
| Innis & Gunn Original | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-07-28 ~ 2022-07-26 |
| Innis & Gunn Toasted Oak Ipa | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-03-04 ~ 2017-03-03 |
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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).