THOMAS E GENDRACHI JR (Credential# 558042) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 26, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.
THOMAS E GENDRACHI JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040459. The credential type is physician/surgeon. The effective date is March 26, 2007. The expiration date is April 30, 2008. The business address is 3748 Burbank Lane, Winston-salem, NC 27106. The current status is inactive.
| Licensee Name | THOMAS E GENDRACHI JR |
| Credential ID | 558042 |
| Credential Number | 1.040459 |
| Credential Type | Physician/Surgeon |
| Business Address |
3748 Burbank Lane Winston-salem NC 27106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-05-23 |
| Effective Date | 2007-03-26 |
| Expiration Date | 2008-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 434686 | CSP.0039009 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-05-05 | 2007-03-01 - 2008-02-29 | INACTIVE |
| 313402 | CSP.0032350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 3748 BURBANK LANE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa D Chisolm-ellis | 2147 Jamestown Rd, Winston-salem, NC 27106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erin Kelly Puttkammer | 769 Lynn Dee Dr., Winston Salem, NC 27106 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jessica Moulton Spear | 4604 Bay Creek Dr., Winston Salem, NC 27106 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Robert L Cestero | 4133 Mill Creek Rd., Winston Salem, NC 27106 | Electrical Unlimited Contractor | 2018-10-01 ~ 2019-09-30 |
| Peter E Avetta | 4230 Prestwick Crossing, Winston-salem, NC 27106 | Architect | 2016-08-01 ~ 2017-07-31 |
| Moravian Home Incorporated | 200 Salemtown Drive, Winston-salem, NC 27106 | Public Charity-exempt From Financial Requirements | ~ |
| Lecil Alexander · Gang-nail Systems Inc | 2060 Heidelbury Dr, Winston Salem, NC 27106 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Brenda A Scronce | 1501 Boxthorne Lane, Winston Salem, NC 27106 | Physician Assistant | 2000-12-19 ~ 2002-02-28 |
| Danielle M Surrells | 1650 Woods Road, Winston Salem, NC 27106 | Registered Nurse | 2002-11-22 ~ 2003-07-31 |
| Tracy M Schmidt | 4690 Murray Road, Winston-salem, NC 27106 | Registered Nurse | 2008-02-21 ~ 2008-08-31 |
| Find all Licenses in zip 27106 | |||
| City | WINSTON-SALEM |
| Zip Code | 27106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON-SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas E Gendrachi · Ward Tech C U of Hartford | 1 Rocklyn Dr-mt Frms, W Simsbury, CT 06092 | Professional Engineer | 1989-02-22 ~ 1990-01-31 |
| Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
| Thomas R Naparst Md | 753 E 5th St Apt 1b, New York, NY 10009-7053 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Thomas Ho Lee | 319 Lafayette St., New York, NY 10012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Thomas Yu | 79 Rt 37w, Toms River, NJ 08755 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Thomas Koobatian Md | 21 Elm St, New Milford, CT 06776-2915 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas A. Fay | 104 River Rd, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Thomas P Simeone | Po Box 2460, Jupiter, FL 33468-2460 | Physician/surgeon | ~ |
| Thomas A Nowicki | Tolland, CT 06084 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on THOMAS E GENDRACHI JR.
| 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).