ETHAN B FOXMAN MD (Credential# 559806) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ETHAN B FOXMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042224. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 111 Founders Plz Ste 400, East Hartford, CT 06108-3286. The current status is active.
| Licensee Name | ETHAN B FOXMAN MD |
| Credential ID | 559806 |
| Credential Number | 1.042224 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Founders Plz Ste 400 East Hartford CT 06108-3286 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-15 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 366997 | CSP.0034801 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-04-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 FOUNDERS PLZ STE 400 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3286 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John K. Horky | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| John P Volpe Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Matthew Francois Del Guzzo | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bret F Coughlin Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joshua A Kallen | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Suzanna Poplawski | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Steve Y Lee Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas H Farquhar Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Margaret K Szerejko Md · Jefferson X-ray Group Incorporated | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas D Montgomery | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
| Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
| Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
| Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
| Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
| Find all Licenses in zip 06108 | |||
| City | EAST HARTFORD |
| Zip Code | 06108 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen F Foxman | 1047 N Main St, West Hartford, CT 06117-2055 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ethan Kim | 20 Dutchess Landing Rd Apt B110, Poughkeepsie, NY 12601-1687 | Physician/surgeon | ~ |
| Kenneth J Egan | 901 Ethan Allen Hwy, Ridgefield, CT 06877-2834 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ruth A Pryor | 183 Ethan Drive, Windsor, CT 06095 | Physician/surgeon | 2006-05-04 ~ 2007-04-30 |
| Christopher R Reynolds | 898 Ethan Allen Hwy, Ridgefield, CT 06877 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Ethan Taub | Bellariastrasse 61, 8038 Zuerich | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Natasha A Tzagoloff | 901 Ethan Allen Hwy, Ridgefield, CT 06877-2834 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Ethan S Weiner | 20 Chapman Drive, East Lyme, CT 06333 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ethan L Gundeck | Hudson Valley Heart Center, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ethan Lindberg Foundation, Inc. · Ethan Lindberg Foundation, Ethan M. Lindberg Foundation | 12254 Bellingham Road, Caledonia, IL 61011 | Public Charity | 2016-12-01 ~ 2017-11-30 |
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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).