JOSEPH R DE BEAUVOIR (Credential# 1634608) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOSEPH R DE BEAUVOIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062572. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 17 Minuteman Cir, Southbury, CT 06488-3005. The current status is active.
| Licensee Name | JOSEPH R DE BEAUVOIR |
| Credential ID | 1634608 |
| Credential Number | 1.062572 |
| Credential Type | Physician/Surgeon |
| Business Address |
17 Minuteman Cir Southbury CT 06488-3005 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-09 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1650267 | CSP.0070677 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-22 | 2019-04-22 - 2021-02-28 | ACTIVE |
| 1359666 | CSP.0063069 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1489063 | 1.058361-RES | Resident Physician | 2016-06-20 | 2016-06-20 - 2019-06-30 | INACTIVE |
| Street Address | 17 MINUTEMAN CIR |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-3005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Liu | 15 Minuteman Cir, Southbury, CT 06488-3005 | Pharmacist | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J C Beauvoir Merlot Vin De Pays D'oc | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2004-03-08 ~ 2007-03-07 |
| J C Beauvoir Vin De Pays D'oc Merlot | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2000-08-23 ~ 2003-08-23 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Joseph Rosenblatt | 33 Two Rod Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph T Culverwell | 629 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1999-07-12 ~ 2000-07-31 |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Joseph F. Skowron IIi | 16 Doubling Rd, Greenwich, CT 06830-4846 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on JOSEPH R DE BEAUVOIR.
| 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).