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).