DANIEL A HENRIQUEZ (Credential# 1488264) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 26, 2017. The license expiration date date is July 4, 2021. The license status is ACTIVE.
DANIEL A HENRIQUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057681-RES. The credential type is resident physician. The effective date is June 26, 2017. The expiration date is July 4, 2021. The business address is 78 Highland Ave, Middletown, CT 06457-4121. The current status is active.
| Licensee Name | DANIEL A HENRIQUEZ |
| Credential ID | 1488264 |
| Credential Number | 1.057681-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
78 Highland Ave Middletown CT 06457-4121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-26 |
| Effective Date | 2017-06-26 |
| Expiration Date | 2021-07-04 |
| Refresh Date | 2018-05-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1441800 | CSP.0066555 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 78 HIGHLAND AVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Kline | 72 Highland Avenue, Middletown, CT 06457-4121 | Emergency Medical Technician | ~ 1999-01-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Josephine Eunjung Henriquez | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Daniel Le Bui | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel Ebbs | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel Gomez | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Daniel Croxford | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Daniel F Hicks | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel Haddad | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel R Dickstein | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| Daniel W Condit | 45 Rockledge Dr, Avon, CT 06001-2415 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| Daniel X Yang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).