HENRY J SPENCER MD (Credential# 547553) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
HENRY J SPENCER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029055. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 14 Inwood Road, Woodbridge, CT 06525. The current status is active.
| Licensee Name | HENRY J SPENCER MD |
| Credential ID | 547553 |
| Credential Number | 1.029055 |
| Credential Type | Physician/Surgeon |
| Business Address |
14 Inwood Road Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1988-05-13 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154189 | CSP.0016822 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 14 INWOOD ROAD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arie Eliazarov | 14 Inwood Road, Woodbridge, CT 06525 | Notary Public Appointment | 1994-06-01 ~ 1999-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer H Mccleave | 925 N 3rd Ave, Tucson, AZ 85705 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| David Leitenberg | 154 Spencer Ave, Guilford, CT 06437 | Physician/surgeon | 2000-09-21 ~ 2001-09-30 |
| Michael C Dubik | 112 Spencer St, Manchester, CT 06040-4601 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Leonard A Schonberg | 52 Spencer St, Winsted, CT 06098 | Physician/surgeon | 1995-04-24 ~ 1996-04-30 |
| Spencer Holover | 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 | Physician/surgeon | ~ |
| Micky R Riggs Md | 88 Spencer Ave, Guilford, CT 06437-3366 | Physician/surgeon | 2000-06-28 ~ 2001-06-30 |
| James C Spencer Jr | 774 Reef Rd, Fairfield, CT 06824-6540 | Physician/surgeon | 2014-03-01 ~ 2015-02-28 |
| Mark Spencer Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Christopher B Spencer Md | 66 Gould Ave, Fairfield, CT 06824-5830 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Donna M Mchugh Md | 115 Spencer St, Winsted, CT 06098 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).