CHARLES STEPHEN HENRY (Credential# 1788161) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
CHARLES STEPHEN HENRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064645. The credential type is physician/surgeon. The effective date is December 6, 2019. The expiration date is November 30, 2020. The business address is 11995 Singletree Lane, Eden Prairie, MN 55344. The current status is active.
| Licensee Name | CHARLES STEPHEN HENRY |
| Credential ID | 1788161 |
| Credential Number | 1.064645 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Lane Eden Prairie MN 55344 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-06 |
| Effective Date | 2019-12-06 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-09 |
| Street Address | 11995 Singletree Lane |
| City | Eden Prairie |
| State | MN |
| Zip Code | 55344 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Alan J Kopp | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jennifer Kim Md | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Joseph Michael Rozell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey Brian Cutler | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Wendy Elaine Zimmer | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard T. Kaplan | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kevin Charles Wright | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Raymond Bozman | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Christopher M. Garcia | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Rebecca Dipofi Rogers | 13625 Technology Dr, Eden Prairie, MN 55344 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 55344 | |||
| City | Eden Prairie |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Eden Prairie |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen C Whitmore | 19w224 Patrick Henry, Oak Brook, IL 60523 | Physician/surgeon | 1997-10-28 ~ 1998-10-31 |
| Charles A Henry | 730 Cool Springs Blvd Ste 800, Franklin, TN 37067-4641 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephen C Lawhorn | 100 Charles Lindbergh, Uniondale, NY 11553 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Henry Lin | 25 Newell Rd Ste C-4, Bristol, CT 06010-5100 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Henry M Spinelli | 875 5th Ave, New York, NY 10065-4952 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Henry B Low | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Henry Lee | 760 Saybrook Rd, Middletown, FL 06457 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
| Patrick A Robinson | 213 O Henry Ave, Davidson, Nc, NC 28036 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Henry J Messinger Md | 257 Bronson Rd, Southport, CT 06490 | Physician/surgeon | 2001-04-25 ~ 2002-04-30 |
Please comment or provide details below to improve the information on CHARLES STEPHEN HENRY.
| 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).