TRAVIS M SMITH (Credential# 1338085) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
TRAVIS M SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055561. The credential type is physician/surgeon. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 340 S Main St, West Hartford, CT 06107-3618. The current status is active.
| Licensee Name | TRAVIS M SMITH |
| Credential ID | 1338085 |
| Credential Number | 1.055561 |
| Credential Type | Physician/Surgeon |
| Business Address |
340 S Main St West Hartford CT 06107-3618 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-28 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-03-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487843 | 1.057506-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 340 S MAIN ST |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3618 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David P Desrosiers | 348 S Main St, West Hartford, CT 06107-3618 | Emergency Medical Responder | 2011-12-13 ~ 2014-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jo M Travis | P.o. Box 66, Heath, MA 01346 | Physician/surgeon | 2012-03-01 ~ 2013-02-28 |
| Bradley A Mcgregor | 101 Bodin Circle, Travis Afb, CA 94535 | Physician/surgeon | ~ |
| Travis L Boaz Md | 530 E Mcdowell Rd Ste 107-123, Phoenix, AZ 85004-1549 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ashraf H Mansour | 64 Travis Ave, Staten Island, NY 10314 | Physician/surgeon | 2003-11-25 ~ 2004-04-30 |
| William D Travis | 12 Stonygate Oval, New Rochelle, NY 10804 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
| Travis G Snyder Md | 1184 Chapel St Unit 4, New Haven, CT 06511 | Physician/surgeon | 2006-03-27 ~ 2007-03-31 |
| Travis R Von Tobel | 4100 Southpoint Dr E Bldg 1, Jacksonville, FL 32216 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Craig R Travis | 5901 Sw 87th St, South Miami, FL 33143 | Physician/surgeon | 1997-01-09 ~ 1997-10-31 |
| John Travis Hinson | 15 New Street, West Hartford, CT 06197 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Walter Travis Jr · Travis Construction | 214 Woodridge Dr So, Stamford, CT 06902 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
Please comment or provide details below to improve the information on TRAVIS M SMITH.
| 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).