JENNIFER L GAUDIANI (Credential# 560949) 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.
JENNIFER L GAUDIANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043367. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4700 Hale Pkwy Ste 380, Denver, CO 80220-4045. The current status is active.
Licensee Name | JENNIFER L GAUDIANI |
Credential ID | 560949 |
Credential Number | 1.043367 |
Credential Type | Physician/Surgeon |
Business Address |
4700 Hale Pkwy Ste 380 Denver CO 80220-4045 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-05-02 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-04-18 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
380029 | CSP.0035831 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-31 | 2006-03-01 - 2007-02-28 | INACTIVE |
1369489 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
Street Address | 4700 HALE PKWY STE 380 |
City | DENVER |
State | CO |
Zip Code | 80220-4045 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen E Mckinley | 1420 Birch Street, Denver, CO 80220 | Registered Nurse | 2016-07-01 ~ 2017-06-30 |
Daniel S Morrison | 1233 Tamarac Street, Denver, CO 80220 | Registered Nurse | 2015-08-01 ~ 2016-07-31 |
Rodger Young | 1833 Newport St, Denver, CO 80220 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
Judith S Klann | 5430 E 19th Ave, Denverich, CO 80220 | Real Estate Broker | 1999-06-01 ~ 2000-05-31 |
Robert J Mac Donald Md | 1129 Pontiac Street, Denver, CO 80220 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Sophie B Tyler | 310 Eudora St, Denver, CO 80220 | Registered Nurse | 2007-08-24 ~ 2008-10-31 |
Cynthia J Zipp | 1234 Ash Street, Denver, CO 80220 | Registered Nurse | 2007-09-25 ~ 2008-07-31 |
Janice D Hinds | 1280 Albion St. #29, Denver, CO 80220 | Occupational Therapist | 1997-07-30 ~ 1999-07-31 |
Barbara A Hostrup | 1632 Colorado Blvd, Denver, CO 80220-1056 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
Robert W Smith | 4857 E 17th Ave, Denver, CO 80220-1216 | Landscape Architect | 2008-08-12 ~ 2009-07-31 |
Find all Licenses in zip 80220 |
City | DENVER |
Zip Code | 80220 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DENVER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
Jennifer Lax Md | 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2003-05-16 ~ 2004-02-29 |
Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Jennifer R Lee Md | 85 Viscount Dr#8c, Milford, CT 06460 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Jennifer Mcniff | 35 Marshall Ave, Guilford, CT 06437 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jennifer F Cross | 19 W Brookside Dr, Larchmont, NY 10538 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Jennifer B Gruen | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Jennifer S Phelps Hermantin | Po Box 417, Georgetown, CT 06829-0417 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Jennifer Mcquiston | 23134 Newcut Rd, Clarksburg, MD 20871-9377 | Physician/surgeon | ~ |
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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).