HEATHER DAHLQUIST (Credential# 1332802) 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.
HEATHER DAHLQUIST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055103. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1050 State St Apt 337, New Haven, CT 06511-2772. The current status is active.
Licensee Name | HEATHER DAHLQUIST |
Credential ID | 1332802 |
Credential Number | 1.055103 |
Credential Type | Physician/Surgeon |
Business Address |
1050 State St Apt 337 New Haven CT 06511-2772 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-03-31 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1343270 | CSP.0062374 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 1050 STATE ST APT 337 |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-2772 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
You Ri Hwang | 1050 State St Apt 356, New Haven, CT 06511-2772 | Advanced Practice Registered Nurse | 2020-05-18 ~ 2021-01-31 |
Michael R Fleischmann | 1050 State St Apt 355, New Haven, CT 06511-2772 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
Find all Licenses in zip 06511 |
City | NEW HAVEN |
Zip Code | 06511 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
Lisbeysi Calo | 135 Heather Ln, Wilton, CT 06897-4627 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Thomas W Hansen | 694 Heather Ln, Sanibel, FL 33957-5108 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Heather L Sibley Md | 130 S Brooksvale Rd, Cheshire, CT 06410-3512 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Heather X Cereste | 7 Riversville Rd, Greenwich, CT 06831-3684 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Heather K. Hamilton | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Stephen N Harris | 84 Heather Dr, New Canaan, CT 06840-5224 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Heather M Kempczinski | 12 Evergreen Avenue, Rye, NY 10580 | Physician/surgeon | 2003-02-24 ~ 2004-02-29 |
Heather C Healy Do | 18 Griswold Dr, W Hartford, CT 06119 | Physician/surgeon | 2004-04-23 ~ 2005-03-31 |
Heather M Carney | 4205 Avalon Dr, Shelton, CT 06484-7611 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
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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).