GLENN RICHARD (Credential# 938015) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
GLENN RICHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049309-DO. The credential type is physician/surgeon. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236. The current status is inactive.
| Licensee Name | GLENN RICHARD |
| Credential ID | 938015 |
| Credential Number | 1.049309-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
300 Westage Business Ctr Dr Ste 280 Fishkill NY 12524-2236 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-11-01 |
| Effective Date | 2017-12-01 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2019-03-05 |
| Street Address | 300 WESTAGE BUSINESS CTR DR STE 280 |
| City | FISHKILL |
| State | NY |
| Zip Code | 12524-2236 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ethiopia Teferra | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
| 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 |
|---|---|---|---|
| Richard Glenn Spurlock Jr. | 29 W Cove Drive, Newnan, GA 30263 | Physician/surgeon | 2018-01-02 ~ 2019-01-31 |
| Keith Richard Glenn | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Glenn J. Freeman Md | P.o. Box 339, Englewood, FL 34295-0339 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Glenn Feole Md | 90 Myrtle Ave, Westport, CT 06880 | Physician/surgeon | 1999-02-22 ~ 2000-02-29 |
| Glenn H Boyar | 670 Stoneleigh Ave, Carmel, NY 10512 | Physician/surgeon | 2008-04-02 ~ 2009-06-30 |
| Glenn H Segal | 46 Sullivan Rd, New Milford, CT 06776 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Glenn D Pomerantz | 21 Livingston Rd, Sharon, MA 02067-2711 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Glenn C Griffiths | 11 Merritt Dr., Paquoson, VA 23662 | Physician/surgeon | 1988-05-06 ~ 1994-11-30 |
| Glenn A Meltzer | 33 Lincoln St, Worcester, MA 01605 | Physician/surgeon | 1998-05-11 ~ 1999-05-31 |
| Glenn Leonard Alexander | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).