DAVID V DEGENHARDT (Credential# 561324) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2009. The license expiration date date is November 30, 2009. The license status is INACTIVE.
DAVID V DEGENHARDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043742-DO. The credential type is physician/surgeon. The effective date is February 25, 2009. The expiration date is November 30, 2009. The business address is 5119 Elk Hill Drive, Roanoke, VA 24018. The current status is inactive.
| Licensee Name | DAVID V DEGENHARDT |
| Credential ID | 561324 |
| Credential Number | 1.043742-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
5119 Elk Hill Drive Roanoke VA 24018 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-08-16 |
| Effective Date | 2009-02-25 |
| Expiration Date | 2009-11-30 |
| Refresh Date | 2010-03-30 |
| Street Address | 5119 Elk Hill Drive |
| City | Roanoke |
| State | VA |
| Zip Code | 24018 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Khursheed Imam | C/o Advanced Medical Imaging PC, Roanoke, VA 24018 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katie Elizabeth Dralle | 5834 Merriman Road, Roanoke, VA 24018 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Melanie Swecker | 3717 Kenwick Trail, Roanoke, VA 24018 | Registered Nurse - Temporary | 2017-07-26 ~ 2017-11-22 |
| Sadaf Ahmed | 4808 Pleasant Hill Drive, Roanoke, VA 24018 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Thomas B Lutz | 3163 Berry Lane, Apt. 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-09-04 ~ 2016-01-01 |
| Rachel Keville | 3163 Berry Lane Apt 52, Roanoke, VA 24018 | Registered Nurse - Temporary | 2015-08-28 ~ 2015-12-25 |
| Madalina Macrea | 4913 Hunting Hills Court, Roanoke, VA 24018 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
| Richard M Wellford | 8370 Martins Creek Rd, Roanoke, VA 24018 | Real Estate Broker | ~ |
| Jacques C Raymond | 3151 Berry Lane, Roanoke, VA 24018 | Physician/surgeon | 2000-04-07 ~ 2001-03-31 |
| William M Austin | 3544 Berry Hill Dr, Roanoke, VA 24018 | Chiropractor | 2006-04-24 ~ 2007-06-30 |
| Find all Licenses in zip 24018 | |||
| City | Roanoke |
| Zip Code | 24018 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Roanoke |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David M Lans | 838 Pelhamdale Ave, New Rochelle, NY 10801-1032 | Physician/surgeon | ~ |
| David I Soybel | Fmb 109, New Haven, CT 06511 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David J Rea | 5699 N Centerpark Way Apt 502, Glendale, WI 53217-4571 | Physician/surgeon | ~ |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Please comment or provide details below to improve the information on DAVID V DEGENHARDT.
| 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).