AIDA BECKER (Credential# 1364886) 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.
AIDA BECKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055943. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 117 Tumble Brook Dr, Vernon, CT 06066-5014. The current status is active.
Licensee Name | AIDA BECKER |
Credential ID | 1364886 |
Credential Number | 1.055943 |
Credential Type | Physician/Surgeon |
Business Address |
117 Tumble Brook Dr Vernon CT 06066-5014 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-11-22 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1391741 | CSP.0064413 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 117 TUMBLE BROOK DR |
City | VERNON |
State | CT |
Zip Code | 06066-5014 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donna L Ward | 147 Tumble Brook Dr, Vernon, CT 06066-5014 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in zip 06066 |
City | VERNON |
Zip Code | 06066 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + VERNON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Aida Mckellar | 2425 Underwood #260, Houston, TX 77030 | Physician/surgeon | 1994-09-20 ~ 1994-09-30 |
Aida C Vega | 9214 Sw 43rd Lane, Gainesville, FL 32608 | Physician/surgeon | 1997-02-21 ~ 1998-02-28 |
Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
Kevin P Becker | 37 Quail Run, Madison, CT 06443-1946 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Nils Becker | 2 Middle St, Lexington, MA 02421-7702 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Stephen M Becker Md | 23 Wildwood Rd Apt 201, Groton, CT 06340 | Physician/surgeon | 2005-12-19 ~ 2007-01-31 |
Herb C Becker | 419 S Bruner St, Hinsdale, IL 60521-3941 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Bernard F Oddi | 10 Becker Street, Wilbarham, MA 01095 | Physician/surgeon | 1980-05-21 ~ 1983-04-30 |
Theresa M Becker | 11408 Somerville Dr, Temple, TX 76502 | Physician/surgeon | 1998-09-11 ~ 1999-08-31 |
William C Becker Md | 329 Greene St. Unit 3, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).