CARLO BIFULCO (Credential# 559087) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 22, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.
CARLO BIFULCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041504. The credential type is physician/surgeon. The effective date is May 22, 2009. The expiration date is May 31, 2010. The business address is 8411 Nw Thompson Rd, Portland, OR 97229. The current status is inactive.
| Licensee Name | CARLO BIFULCO |
| Credential ID | 559087 |
| Credential Number | 1.041504 |
| Credential Type | Physician/Surgeon |
| Business Address |
8411 Nw Thompson Rd Portland OR 97229 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-05-27 |
| Effective Date | 2009-05-22 |
| Expiration Date | 2010-05-31 |
| Refresh Date | 2010-09-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 381017 | CSP.0036278 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-27 | 2004-08-27 - 2005-02-28 | INACTIVE |
| Street Address | 8411 NW Thompson Rd |
| City | Portland |
| State | OR |
| Zip Code | 97229 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maritza Martel | 8411 Nw Thompson Rd, Portland, OR 97229 | Physician/surgeon | 2009-05-22 ~ 2010-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul C Gilham | 13670 Nw Laidlaw Road, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Caroline Giorgiana Phippen Roberts | 13563 Nw Payne Dr, Portland, OR 97229 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Thomas D Woodworth | 414 Nw Skyline Blvd, Portland, OR 97229 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Michael M Edwards | 3010 Nw Bauer Woods Dr, Portland, OR 97229 | Interior Designer | 2009-01-01 ~ 2009-12-31 |
| James Jensen M.d. | 3114 Nw Spencer St, Portland, OR 97229 | Physician/surgeon | 2004-03-15 ~ 2005-04-30 |
| Theresa M O'hollaren | 8610 Nw Hazeltine Dr, Portland, OR 97229 | Registered Nurse | 1999-05-07 ~ 2000-06-30 |
| Victoria A Edwards | 10937 No. West Appellate Way, Portland, OR 97229 | Speech and Language Pathologist | 2001-07-25 ~ 2002-04-30 |
| Donald M Kelly | 3669 Nw 123rd Place, Portland, OR 97229 | Pharmacist | 1998-02-01 ~ 1999-01-31 |
| Maqsuda Kabir · Samad | 14054 Nw Lakeview Dr, Portland, OR 97229-2443 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Terry Allen Krause | 4545 Nw Neskowin Ave, Portland, OR 97229-2805 | Architect | 2020-05-04 ~ 2021-07-31 |
| Find all Licenses in zip 97229 | |||
| City | Portland |
| Zip Code | 97229 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Portland |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlo G Brogna | 33 Dockray St, Wakefield, RI 02879 | Physician/surgeon | 2002-07-26 ~ 2003-05-31 |
| Carlo C Bernardino | 2810 Ribera Road, Carmel, CA 93923 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Carlo Mei Jr · Carlo Mei Masonry | 878 Vauxhall St Ext, Quaker Hill, CT 06375 | Home Improvement Contractor | 1996-02-15 ~ 1996-11-30 |
| Carlo Electrical Co Inc | 191 Franklin Ave-rear, Hartford, CT 06114 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Carlo Colonnello · Tile By Carlo | 53 Stuart Ave, Norwalk, CT 06850-3508 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Karen I Bifulco | 73 Birchwood Rd, East Hartford, CT 06118 | Registered Nurse | 2007-06-05 ~ 2008-06-30 |
| Clem Bifulco | 35 Denison Dr, Guilford, CT 06437-2483 | Home Improvement Salesperson | 2008-09-12 ~ 2009-11-20 |
| Noreen Bifulco · Shannon | 27 Horse Stable Cir, Shelton, CT 06484 | Radiographer | 2005-06-14 ~ 2006-08-31 |
| Carlo Foppiano Palacios | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Carlo's Welding & Fab LLC | 87-b Rachel Rd, Manchester, CT 06040 | Home Improvement Contractor | 2009-02-10 ~ 2009-11-30 |
Please comment or provide details below to improve the information on CARLO BIFULCO.
| 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).