ANDREW BEDFORD MD (Credential# 554493) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
ANDREW BEDFORD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036902. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 2890 Main St, Stratford, CT 06614-4980. The current status is approved.
| Licensee Name | ANDREW BEDFORD MD |
| Credential ID | 554493 |
| Credential Number | 1.036902 |
| Credential Type | Physician/Surgeon |
| Business Address |
2890 Main St Stratford CT 06614-4980 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1998-05-29 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 195973 | CSP.0026753 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2890 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4980 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucy Ann Salieb Shamberg | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gregory N Soloway | 2890 Main St, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Opalak | 2890 Main St Ste D, Stratford, CT 06614-4980 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Patrick P Mastroianni | 2890 Main St Ste D, Stratford, CT 06614-4980 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eve H Rice | 256 Bedford Banksville Road, Bedford, NY 10506 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Wendy A Manowitz | 264 Bedford Banksville Rd, Bedford, NY 10506-1923 | Physician/surgeon | 2013-12-24 ~ 2014-11-30 |
| Lincoln K Pao | 140 S Bedford Rd, Chappaqua, NY 10514-3400 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
| Thomas M Heffernan Md | 8 Champagne Ter, Bedford, NH 03110 | Physician/surgeon | 2004-11-29 ~ 2005-11-30 |
| Alexander W Petron | 20 Strafford Ln, Bedford, NH 03110-4536 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mukta S Sharma | 31 Hickory Ln, Bedford, NY 10506-1533 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Ronald C. Schliftman | 24 Ferris Ln, Bedford, NY 10506-1715 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Steven J Karidas Md | 500 Bedford St#127, Stamford, CT 06901 | Physician/surgeon | 2008-03-05 ~ 2009-04-30 |
| Paul W. Sokoloski | 247 Dellwater Ln, Bedford, PA 15522-3631 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Andrei Klein | 180 Haines Rd, Bedford Hills, NY 10507-1213 | Physician/surgeon | ~ |
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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).