SIRI L DAULAIRE (Credential# 1048902) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SIRI L DAULAIRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050596. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 28 Crescent Street, Middletown, CT 06457. The current status is active.
| Licensee Name | SIRI L DAULAIRE |
| Credential ID | 1048902 |
| Credential Number | 1.050596 |
| Credential Type | Physician/Surgeon |
| Business Address |
28 Crescent Street Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-07 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1053622 | CSP.0052029 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-02-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 28 CRESCENT STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Roy | 28 Crescent Street, Middletown, CT 06457 | Backflow Prevention Device Tester | 2020-01-01 ~ 2022-12-31 |
| Jonathan E Bankoff | 28 Crescent Street, Middletown, CT 06457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Myra Saha | 28 Crescent Street, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Camielle A. Rizzo | 28 Crescent Street, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anju Phillips | 28 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew T Dolan | 28 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rahul S Magavi Md | 28 Crescent Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Daley | 28 Crescent Street, Middletown, CT 06457 | Small Water System Operator Conditional | 2005-01-18 ~ 2007-12-31 |
| Stephen L Barrett | 28 Crescent Street, Middletown, CT 06457 | Notary Public Appointment | 1958-03-10 ~ 1963-03-31 |
| Connecticut Society of Radiologic Technologists | 28 Crescent Street, Middletown, CT 06457 | Public Charity-exempt From Financial Requirements | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pecchenino Dolcetto Siri D'jermu | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-02-16 ~ 2017-02-14 |
| Siri Hoffman | 110 Woodbury Rd, Watertown, CT 06795-2130 | Massage Therapist | 2019-09-01 ~ 2021-08-31 |
| Pramote Siri | 639 Evers St, Bridgeport, CT 06610-1322 | Plumbing Trainee | 2018-01-25 ~ 2018-10-31 |
| Siri C Eliassen | 1801 Shoreline Dr, Alameda, CA 94501 | Physical Therapist | 1993-06-24 ~ 1994-07-31 |
| Siri M Parsons | 34 Loading Rock Rd, Riverside, CT 06878-1126 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Radichelly J Siri-dalton | 43 Edson Ave, Waterbury, CT 06705 | Real Estate Salesperson | ~ |
| Siri E Lynn | 385 Woodbine Rd, Stamford, CT 06900 | Notary Public Appointment | 1984-03-01 ~ 1989-03-31 |
| Siri Ostensen | 51 Forest Avenue 89, Old Greenwich, CT 06870 | Notary Public Appointment | 2011-09-01 ~ 2016-08-31 |
| Siri Martin | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Radichelly Siri Dalton | 5 Jeffrey Dr., South Windsor, CT 06074 | Medication Administration Certification | 2010-04-07 ~ 2012-04-06 |
Please comment or provide details below to improve the information on SIRI L DAULAIRE.
| 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).