ANDREA J HENDRZAK MD (Credential# 560542) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 24, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
ANDREA J HENDRZAK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042960. The credential type is physician/surgeon. The effective date is November 24, 2004. The expiration date is March 31, 2005. The business address is 5001 Statesman Drive, Irving, TX 75063. The current status is inactive.
| Licensee Name | ANDREA J HENDRZAK MD |
| Credential ID | 560542 |
| Credential Number | 1.042960 |
| Credential Type | Physician/Surgeon |
| Business Address |
5001 Statesman Drive Irving TX 75063 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-11-24 |
| Effective Date | 2004-11-24 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 391491 | CSP.0036849 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-09 | 2004-12-09 - 2005-02-28 | INACTIVE |
| Street Address | 5001 STATESMAN DRIVE |
| City | IRVING |
| State | TX |
| Zip Code | 75063 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert D Jones Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2007-06-01 ~ 2008-06-30 |
| Ralph E Jones | 5001 Statesman Drive, Irving, TX 75063 | Radiographer | 2006-08-29 ~ 2007-08-31 |
| Vicki B Williamson | 5001 Statesman Drive, Irving, TX 75063 | Registered Nurse | 2006-04-21 ~ 2007-03-31 |
| Carole L Fridrich | 5001 Statesman Drive, Irving, TX 75063 | Radiographer | 2006-06-08 ~ 2006-12-31 |
| Linda L Mcclintock Aprn | 5001 Statesman Drive, Irving, TX 75063 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Bernard Finley Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2004-04-01 ~ 2005-04-30 |
| Piayon E Kobbah Md | 5001 Statesman Drive, Irving, TX 75063 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Ely B Nathan Md | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 2003-10-27 ~ 2004-04-30 |
| Joseph B Alexander | 5001 Statesman Drive, Irving, TX 75063 | Physician/surgeon | 1969-07-29 ~ 1974-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel Hines | 3701 Regent Blvd #200, Irving, TX 75063 | Real Estate Broker | 2020-06-22 ~ 2021-03-31 |
| Cindy Laurel Joslin | 6303 Commerce Drive | Suite 180, Irving, TX 75063 | Registered Nurse | ~ |
| Penhall Company | 7501 Esters Blvd., Irving, TX 75063 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Casa Bella Multifamily LLC | 7341 Beranger Dr, Irving, TX 75063 | Securities - Exemptions | 2020-03-13 ~ |
| Anthony Ogo Ndikanwu | 2317 Huntersridge Dr, Irving, TX 75063 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Phil Sheridan | 9501 Vista Circle, Irving, TX 75063 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rxcrossroads By Mckesson | 845 Regent Blvd Suite 100a, Irving, TX 75063 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Praveen K Gujjula | 3827 Wind Cave Bend, Irving, TX 75063 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
| Juan M Mendez | 7750 N. Mac Arthur Blvd, Irving, TX 75063 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Susan M Trotter | 2306 Pistachio Dr, Irving, TX 75063 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 75063 | |||
| City | IRVING |
| Zip Code | 75063 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + IRVING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Vidali | 41 S 5th St Apt 11, Brooklyn, NY 11249-8417 | Physician/surgeon | ~ |
| Andrea C Lin | 9 N Gate Rd, Carmel, NY 10512-2213 | Physician/surgeon | 2010-09-09 ~ 2011-06-30 |
| Wen-ray T Hsu | 18 Andrea Lane, Scarsdale, NY 10583 | Physician/surgeon | 2007-12-19 ~ 2008-10-31 |
| Andrea L Lundell | 105 Liberty Ln, Rockwall, TX 75032-8462 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Andrea J Shaer | 118 Mattahasset Dr, Meriden, CT 06450 | Physician/surgeon | ~ 1996-10-31 |
| Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
| Andrea B Lese | 301 Central Ave Ne, Albuquerque, NM 87102-3885 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
| Andrea E Andrews Md | Po Box 390695, Snellville, GA 30039 | Physician/surgeon | 2005-04-06 ~ 2006-04-30 |
| Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrea G Asnes | 324 Yale Ave, New Haven, CT 06515-2233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on ANDREA J HENDRZAK MD.
| 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).