DERRICK A LAM (Credential# 1672499) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
DERRICK A LAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063786-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 7 Arcadia Ln Unit# 3303, Shelton, CT 06484. The current status is active.
| Licensee Name | DERRICK A LAM |
| Credential ID | 1672499 |
| Credential Number | 1.063786-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
7 Arcadia Ln Unit# 3303 Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-06-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1672373 | CSP.0071751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-28 | 2019-06-28 - 2021-02-28 | ACTIVE |
| Street Address | 7 ARCADIA LN UNIT# 3303 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derrick A Hodges · Derrick Remodeling | 82 Plainfield St, Hartford, CT 06112 | Home Improvement Contractor | 2004-12-01 ~ 2005-05-20 |
| Derrick Munro · Derrick's New England Painting | 267 Branford Rd Apt 106, North Branford, CT 06471-1330 | Home Improvement Contractor | 2012-02-01 ~ 2012-11-30 |
| Derrick Nitsche | 221 W 29th St # 12d, New York, NY 10001-5580 | Physician/surgeon | 2020-05-06 ~ 2021-03-31 |
| Derrick R Schull | 94 Old Coach Hwy, Hamden, CT 06518 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Derrick's Remodeling LLC | 82 Plainfield St, Hartford, CT 06112 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| John Derrick Van Doren | 6771 Warner Ave #2556, Huntington Beach, CA 92647 | Physician/surgeon | ~ |
| Koch Crane & Derrick Co. | 400 Roosevelt Ave, Carteret, NJ 07008 | Crane Registration | 1989-04-26 ~ 1990-04-25 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | 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).