ELLEN B. RODMAN DO (Credential# 937602) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
ELLEN B. RODMAN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049006-DO. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 94 Bay Bridge Dr, Gulf Breeze, FL 32561-4467. The current status is active.
| Licensee Name | ELLEN B. RODMAN DO |
| Credential ID | 937602 |
| Credential Number | 1.049006-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
94 Bay Bridge Dr Gulf Breeze FL 32561-4467 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-20 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945595 | CSP.0048304 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-06 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 94 BAY BRIDGE DR |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4467 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott C Dickinson | 906 Bay Cliffs Rd, Gulf Breeze, FL 32561 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerald W Grass Md | 1 Portofino Drive, Pensacola Beach, FL 32561 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Thomas L Brown | 200 Northcliff Drive, Gulf Breeze, FL 32561 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Deborah M Brown | 1297 Greenview Lane, Gulf Breeze, FL 32561 | Dental Hygienist | 1998-12-31 ~ 1999-12-31 |
| Carolyn K Godfrey | 2839 Whisper Bay Bl, Gulf Breeze, FL 32561 | Registered Nurse | 1992-06-25 ~ 1993-05-31 |
| Catherine A Sandstead | 409 Shoreline Drive, Gulf Breeze, FL 32561 | Registered Nurse | 2006-07-03 ~ 2007-07-31 |
| Barbara J Roberts | 1679 Woodlawn Bch Rd, Gulf Breeze, FL 32561 | Registered Nurse | 2002-10-07 ~ 2003-07-31 |
| Scott C Crawley · Smith Security System Inc | 3478 Tibet Dr, Gulf Breeze, FL 32561 | Electrical Limited Contractor | 2005-01-13 ~ 2005-09-30 |
| Jennifer A. Norberg | 209 North Cliff Drive, Gulf Breeze, FL 32561 | Pharmacy Intern | 2001-05-07 ~ 2003-09-30 |
| Peter K Mciver Md | 416 Montrose Blvd, Gulf Breeze, FL 32561-4020 | Controlled Substance Registration for Practitioner | 2011-06-15 ~ 2013-02-28 |
| Find all Licenses in zip 32561 | |||
| City | GULF BREEZE |
| Zip Code | 32561 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GULF BREEZE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea L Rodman · A P Rodman Co | 539 Route 165, Preston, CT 06360 | Home Improvement Contractor | ~ 1995-11-30 |
| Paul Rodman · A P Rodman | 53 Rt 2 A, Preston, CT 06365 | Home Improvement Contractor | 1998-03-11 ~ 1998-11-30 |
| Richard M Chavis | 3507 Rodman Street, Washington, DC 20036 | Physician/surgeon | 1972-07-25 ~ 1983-12-31 |
| William L Rodman · W L Rodman & Son, Inc. | 114 Brooklyn Rd, Canterbury, CT 06331 | Plumbing & Piping Limited Contractor | 2004-11-01 ~ 2005-10-31 |
| Rodman's Lightning Protection LLC | 161 Birdseye Rd, Shelton, CT 06484 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Rodman Hilltop, Lp.p | 308 E. Lancater Avenue, Wynnewood, PA 19096 | Securities - Exemptions | 2020-01-22 ~ |
| Ellen Sano | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Ellen Marqusee | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1993-09-23 ~ 1994-10-31 |
| Ellen Bondar | 27 Barker Ave, White Plains, NY 10601 | Physician/surgeon | ~ |
| Ellen J Brand | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on ELLEN B. RODMAN DO.
| 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).