BRADFORD WOLK MD (Credential# 550200) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 15, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
BRADFORD WOLK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032597. The credential type is physician/surgeon. The effective date is March 15, 2004. The expiration date is March 31, 2005. The business address is 384-k Merrow Road, Tolland, CT 06084. The current status is inactive.
Licensee Name | BRADFORD WOLK MD |
Credential ID | 550200 |
Credential Number | 1.032597 |
Credential Type | Physician/Surgeon |
Business Address |
384-k Merrow Road Tolland CT 06084 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1992-09-04 |
Effective Date | 2004-03-15 |
Expiration Date | 2005-03-31 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160443 | CSP.0020410 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 384-K MERROW ROAD |
City | TOLLAND |
State | CT |
Zip Code | 06084 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Janice M Heldmann-o'connell · Heldmann | 18 Thomas Dr, Tolland, CT 06084 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Barbara Ann Stebbins | 18 Midland Drive, Tolland, CT 06084 | Registered Nurse | ~ |
Carrie Elizabeth Gill | 63 Hill Top Road, Tolland, CT 06084 | Behavior Analyst | ~ |
Kollas Apple Orchard | 41 New Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Frederick M Daniels Dds | 12 Goose Lane, Tolland, CT 06084 | Dentist | 2020-07-01 ~ 2021-06-30 |
Pat's Power Equipment LLC | 401 Merrow Rd, Tolland, CT 06084 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Keri A Johnson | 224 Buff Cap Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Clifford Vernor Dunn, IIi | 44 Birch Hill Dr., Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Aimee Wendy Johnson | 175 South River Rd, Tolland, CT 06084 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Peter D Staiger Md | David E. Palozej Eyecare Associates, Tolland, CT 06084 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06084 |
City | TOLLAND |
Zip Code | 06084 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + TOLLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond E Wolk · Wolk N Sons | 230 Woodward Rd, Brooklyn, CT 06234 | Home Improvement Contractor | 1998-10-01 ~ 1999-11-30 |
John H Wolk | 4 Rajcula Farm Rd, Brookfield, CT 06804-1200 | Physician/surgeon | 2020-03-10 ~ 2021-01-31 |
Wolk & Co., Cpa's | 850 Straits Turnpike, Middlebury, CT 06762 | Certified Public Accountant Firm Permit | 1989-12-14 ~ 1989-12-31 |
Alexander and Wolk | 72 Lakeside Blvd West, Waterbury, CT | Certified Public Accountant Firm Permit | 1983-01-01 ~ 1983-12-31 |
Ann M Rasmusson Md | 36 Bradford St # 2, Boston, MA 02118-2119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Paul B Koehler | Rr01 Box 250 H, Bradford, NH 03221 | Physician/surgeon | 1992-04-24 ~ 1993-04-30 |
Erika D Bradford | 69 Bayview Ave, Berkley, MA 02779 | Physician/surgeon | 2008-06-30 ~ 2009-08-31 |
Bradford Frank | 48 Stratton Way, Branford, CT 06405 | Physician/surgeon | 1992-05-27 ~ 1993-04-30 |
Maria Baiulescu | 124 Bradford Walk, Farmington, CT 06032 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Juan Carlos Deza | 26 Bradford Rd, Scarsdale, NY 10583-7652 | Physician/surgeon | 1985-06-04 ~ 1988-11-30 |
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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).