PAUL KALOUDIS MD (Credential# 921100) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PAUL KALOUDIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048760. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Uconn Health Center-dept. of Emergency Medicine, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | PAUL KALOUDIS MD |
| Credential ID | 921100 |
| Credential Number | 1.048760 |
| Credential Type | Physician/Surgeon |
| Business Address |
Uconn Health Center-dept. of Emergency Medicine Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-24 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 942507 | CSP.0047894 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | UCONN HEALTH CENTER-DEPT. OF EMERGENCY MEDICINE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| Electra V Kaloudis | 24 Fernwood Rd, West Hartford, CT 06119-1163 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul J Healey | 76 Gay St, Somerset, MA 02726-5313 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Paul G Morton Md | Irving, TX 75063 | Physician/surgeon | 2006-06-06 ~ 2007-03-31 |
| John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Paul J Beauvais | Ste 300, Waterbury, CT 06708 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Paul F Haley | 22 Stonebridge Way, Lee, MA 01238-9290 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Paul L Dalbec Md | Po Box 797, Brooklyn, CT 06234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul R Danker | Po Box 506, Slingerlands, NY 12159 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
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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).