JEREMY D TUCKER (Credential# 1040883) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JEREMY D TUCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050588-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 4535 Dressler Road Nw, Canton, OH 44718. The current status is active.
Licensee Name | JEREMY D TUCKER |
Credential ID | 1040883 |
Credential Number | 1.050588-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
4535 Dressler Road Nw Canton OH 44718 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-02-03 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-28 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1045221 | CSP.0051811 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 4535 Dressler Road NW |
City | Canton |
State | OH |
Zip Code | 44718 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Valerie J. De Maio | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dominic J Bagnoli Jr. | 4535 Dressler Road N.w., Canton, OH 44718 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
David C Packo | Emergency Medicine Physicans, Canton, OH 44718 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Heather R. Godale | Emergency Medicine Physicians, Canton, OH 44718 | Controlled Substance Registration for Practitioner | 2019-03-14 ~ 2021-02-28 |
Stephen J Sanofsky | 2930 Sussex Nw, Canton, OH 44718 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
Ghassan H Kabbara | 6615 Knightsbridge Ave Nw, Canton, OH 44718 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
William D Morrison | 5958 Shakertown Dr, Canton, OH 44718 | Respiratory Care Practitioner | 1999-05-27 ~ 2000-05-31 |
Monty R Reed | 5522 West Blvd Nw, Canton, OH 44718 | Professional Engineer | 2007-02-01 ~ 2008-01-31 |
Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Frank Skobel | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Richard L Maenza | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Find all Licenses in zip 44718 |
City | Canton |
Zip Code | 44718 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Canton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeremy C Coutu · Jeremy Coutu Remodeling | 272 Tucker Dist Rd, Dayville, CT 06241 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
Joseph D Demayo | 73 Tucker Ave Fl 2, Oakville, CT 06779-1626 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Daniel M Tucker | 777 Memorial Dr Se, Atlanta, GA 30316 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Dimitry Zilberman | 81 Tucker St, Danbury, CT 06810-5133 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joseph W Tucker Md | 11 South Road, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Douglas B Tucker | United Healthcare, Syracuse, NY 13221 | Physician/surgeon | 2002-12-30 ~ 2003-12-31 |
Elmo G Tucker | 137 Ledge Road, So. Thomaston, ME 04858 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Stephen R Tucker | 35 Fallon Drive, Stratford, CT 06497 | Physician/surgeon | 1994-06-02 ~ 1995-02-28 |
Heidi Marie Tucker | 12 Michelec Rd, Stafford Springs, CT 06076 | Physician/surgeon | 2019-07-01 ~ 2020-07-31 |
Steven George Tucker | 8444 Sw 138th St., Palmetto Bay, FL 33158 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).