RICHARD I ENELOW MD (Credential# 558888) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 2, 2007. The license expiration date date is February 29, 2008. The license status is INACTIVE.
RICHARD I ENELOW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041305. The credential type is physician/surgeon. The effective date is January 2, 2007. The expiration date is February 29, 2008. The business address is Va Ct.health Care System/111a 950 Campbell Ave, West Haven, CT 06516. The current status is inactive.
Licensee Name | RICHARD I ENELOW MD |
Credential ID | 558888 |
Credential Number | 1.041305 |
Credential Type | Physician/Surgeon |
Business Address |
Va Ct.health Care System/111a 950 Campbell Ave West Haven CT 06516 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-04-01 |
Effective Date | 2007-01-02 |
Expiration Date | 2008-02-29 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
341268 | CSP.0033668 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2007-03-01 - 2008-02-29 | INACTIVE |
Street Address | VA CT.HEALTH CARE SYSTEM/111A 950 CAMPBELL AVE |
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 |
---|---|---|---|
Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
Richard W Whitfield | Amc/westpost | Physician/surgeon | 1999-10-12 ~ 2000-11-30 |
Richard L Katzin | Po Box 2, Goshen, CT 06756 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
Richard W Pooley Md | 290 W 580 S, Orem, UT 84058-6151 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
Richard M Gottlieb | Po Box 718, Sharon, CT 06069-0718 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
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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).