FIKISHA L WARDEN (Credential# 1055398) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
FIKISHA L WARDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050745. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 9388 Steeplebush Drive, Belvidere, IL 61008. The current status is inactive.
Licensee Name | FIKISHA L WARDEN |
Credential ID | 1055398 |
Credential Number | 1.050745 |
Credential Type | Physician/Surgeon |
Business Address |
9388 Steeplebush Drive Belvidere IL 61008 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-03-27 |
Effective Date | 2018-09-01 |
Expiration Date | 2019-08-31 |
Refresh Date | 2019-12-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1081630 | CSP.0053019 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-09 | 2017-08-31 - 2019-02-28 | LAPSED |
Street Address | 9388 STEEPLEBUSH DRIVE |
City | BELVIDERE |
State | IL |
Zip Code | 61008 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Herbert L Henkel · Hilti Inc | 10018 Rellswood Dr, Belvidere, IL 61008 | Professional Engineer | 1989-02-08 ~ 1990-01-31 |
Dean Foods Company | 630 Meadow St, Belvidere, IL 61008 | Frozen Dessert Wholesaler | 2005-01-01 ~ 2005-12-31 |
Adam V Clapshaw | 612 E Lincoln Ave, Belvidere, IL 61008-2830 | Public Service Technician - Telephone | 2008-10-03 ~ 2009-09-30 |
Igal Breitman | 413 Lindgren Ln, Belvidere, IL 61008-7065 | Controlled Substance Registration for Practitioner | 2020-01-07 ~ 2021-02-28 |
Terri Bergstrom | 4753 Bloods Point Rd, Belvidere, IL 61008-9420 | Registered Nurse | 1985-09-04 ~ 1988-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tara L Mourry | 9 Schmidts Ln, Belvidere, NJ 07823-2674 | Massage Therapist | 2019-03-01 ~ 2021-02-28 |
Annika Dow | 9 Pritchard Way, Belvidere, NJ 07823 | Registered Nurse | 2017-08-22 ~ 2018-06-30 |
Deborah E Smith | 69 Beechwood Rd, Belvidere, NJ 07823-2532 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
Toni M Wellinghausen | 719 Rt 118 North, Belvidere, VT 05442 | Registered Nurse | 2012-01-01 ~ 2012-12-31 |
Brenden V Kelley | 1 Matthews Ln, Belvidere, NJ 07823-2700 | Engineer-in-training | 2011-10-18 ~ 2021-10-18 |
City | BELVIDERE |
Zip Code | 61008 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BELVIDERE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Emily Warden | 137 Victoria Dr, Madison, AL 35758 | Physician Assistant | 2017-04-03 ~ 2018-04-30 |
19 Crimes The Warden Red Wine | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-05-03 ~ 2022-05-01 |
Rachel Warden | 7 Backus Ave, Danbury, CT 06810-7422 | Optician Apprentice | 2011-09-13 ~ 2012-08-31 |
Misty D Warden | 829 Yverdon Dr, Camp Hill, PA 17011-1847 | Registered Nurse | 2020-05-29 ~ 2021-03-31 |
Fred F Warden | 1741 Beauregard Dr, Lilburn, GA 30247 | Professional Engineer | 1800-12-27 ~ 1994-01-31 |
Jimmy Warden | 162 North St, Hamden, CT 06514-4932 | Electrical Unlimited Journeyperson | 2012-11-08 ~ 2013-09-30 |
Jason L Warden | 127 S Plank Rd, Newburgh, NY 12550 | Electrical Unlimited Journeyperson | ~ |
Amy L Warden | 1701 Blue Spruce Ln, Hartland, WI 53029-9361 | Interior Designer | 2020-01-01 ~ 2020-12-31 |
Truman Warden | 4 Stanton Rd, N Haven, CT 06473 | Home Improvement Contractor | ~ 1995-05-01 |
Sarah Mead Warden | 2355 Oakton Dr, Clemmons, NC 27012-8676 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
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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).