ETHIOPIA TEFERRA (Credential# 563644) 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.
ETHIOPIA TEFERRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046062. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236. The current status is active.
| Licensee Name | ETHIOPIA TEFERRA |
| Credential ID | 563644 |
| Credential Number | 1.046062 |
| Credential Type | Physician/Surgeon |
| Business Address |
300 Westage Business Ctr Dr Ste 280 Fishkill NY 12524-2236 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-12-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-09 |
| Street Address | 300 WESTAGE BUSINESS CTR DR STE 280 |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-2236 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc Jouandet | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David S Jacobs | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ruth Holliday | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Bolivia T Davis | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Sungkee S Ahn | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Corey E. J. Golding | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Mykola Mohuchy | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| David T Vanson | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Kenneth M Nalaboff | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Janet L Amundson | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen Herbert Hooper | 1505 Max Way, Fishkill, NY 12524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Artigas | 4b Rosilia Ln, Fishkill, NY 12524 | Master's Level Social Worker | ~ |
| Bernard J Lanza | 105 Cherrywood Dr, Fishkill, NY 12524 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Ann Morris | 7 Rega Road, Fishkill, NY 12524 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erica Palmiero | 21 Hilltop Circle, Fishkill, NY 12524 | Registered Nurse | 2020-04-17 ~ 2021-03-31 |
| Chelsea A Bera | 71 Lyndon Road, Fishkill, NY 12524 | Behavior Analyst | 2020-03-27 ~ 2021-01-31 |
| Georgia V Del Vecchio | 221 Smithtown Road, Fishkill, NY 12524 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Aaron Ulrich | 4 Locust Court, Fishkill, NY 12524 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Katrina Wuersching | 11 Field Court, Fishkill, NY 12524 | Licensed Practical Nurse | ~ |
| Mariam Soliman | 90 Watch Hill Drive, Fishkill, NY 12524 | Registered Nurse | ~ |
| Find all Licenses in zip 12524 | |||
| City | FISHKILL |
| Zip Code | 12524 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FISHKILL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roots Ethiopia, Inc. | 14 Longmeadow Cir, Madison, WI 53717-1072 | Public Charity | 2020-02-18 ~ 2020-11-30 |
| Ethiopia's Daughters Inc | 22 Cheryl Dr, Monroe, CT 06468-1082 | Public Charity-exempt From Financial Requirements | 2013-06-18 ~ |
| Ethiopia Education Initiatives Inc | 326 E 18th St, New York, NY 10003-2893 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Safe Haven for Youth Ethiopia Ltd | 28 Harris St, Norwalk, CT 06850-2043 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Embracing Hope Ethiopia Inc · Embracing Hope Inc | 255 Shultz Rd., Lancaster, PA 17603 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Ethiopia Russell | 123 Newbury St, Brockton, MA 02301-3838 | Registered Nurse - Temporary | 2010-01-22 ~ 2010-05-22 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on ETHIOPIA TEFERRA.
| 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).