REBECCA E PIKE (Credential# 1305329) 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.
REBECCA E PIKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054658. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 6 Swan Lane, Mystic, CT 06355. The current status is active.
| Licensee Name | REBECCA E PIKE |
| Credential ID | 1305329 |
| Credential Number | 1.054658 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Swan Lane Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-06 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1332623 | CSP.0062088 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 511363 | CSP.0044319 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-10-31 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 6 Swan Lane |
| City | Mystic |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | Mystic |
| Zip Code | 06355 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Mystic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary D Zimmer | 6767 Old Madison Pike Nw Ste 690, Huntsville, AL 35806-2198 | Physician/surgeon | ~ |
| Janet E Romano | 70 Old Dublin Pike, Doylestown, PA 18901 | Physician/surgeon | ~ 1996-03-31 |
| William Johnson Md | 612 Hartford Pike, Dayville, CT 06241 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jane F Peng | 3720 Columbia Pike Apt 3, Arlington, VA 22204-4241 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Douglas W. Kingma | 5441 Edmondson Pike, Nashville, TN 37211 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Thomas G. Bannister | 4000 Hillsboro Pike Apt 205, Nashville, TN 37215-2761 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Vinita Mathur | 1450 Elm Hill Pike, Nashville, TN 37210-4531 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Jonathan R Oppenheimer | 1450 Elm Hill Pike, Nashville, TN 37210-4531 | Physician/surgeon | 2014-02-01 ~ 2015-01-31 |
| Sangeeta Srivastava | 6421 Clough Pike, Cincinnati, OH 45244 | Physician/surgeon | 1997-06-11 ~ 1998-05-31 |
| Judith M Davis | 461 Granny White Pike, Brentwood, TN 37027 | Physician/surgeon | 1968-07-08 ~ 1981-03-31 |
Please comment or provide details below to improve the information on REBECCA E PIKE.
| 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).