CHAD MICHAEL DANIEL (Credential# 2032924) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 28, 2020. The license expiration date date is November 30, 2021. The license status is ACTIVE.
CHAD MICHAEL DANIEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065332. The credential type is physician/surgeon. The effective date is April 28, 2020. The expiration date is November 30, 2021. The business address is 4202 E Sahuaro Dr, Phoenix, AZ 85028-3523. The current status is active.
| Licensee Name | CHAD MICHAEL DANIEL |
| Credential ID | 2032924 |
| Credential Number | 1.065332 |
| Credential Type | Physician/Surgeon |
| Business Address |
4202 E Sahuaro Dr Phoenix AZ 85028-3523 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-28 |
| Effective Date | 2020-04-28 |
| Expiration Date | 2021-11-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2042288 | CSP.0073887 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-05 | 2020-05-05 - 2021-02-28 | ACTIVE |
| Street Address | 4202 E SAHUARO DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3523 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Palmer | 4202 E Sahuaro Dr, Phoenix, AZ 85028-3523 | Advanced Practice Registered Nurse | 2020-05-12 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eleanor P Moser | 11640 North Tatum Blvd, Unit 3094, Phoenix, AZ 85028 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| Cutolo Michele and Figli | Rionero In Vulture, Italy, 85028 | Non-alcoholic Beverage & Water Bottlers | 1998-07-01 ~ 1999-06-30 |
| Walter J Kukulka | 10645 N Tatum Blvd Suite 200-199, Phoenix, AZ 85028 | Landscape Architect | 2012-08-01 ~ 2013-07-31 |
| Charlene Baldwin | 2648 E. Beryl Avenue, Phoenix, AZ 85028 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
| Brian S Puglisi | 4416 E Horseshoe Rd, Phoenix, AZ 85028 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Ruth H Black | 10227 N 24th Street, Phoenix, AZ 85028 | Registered Nurse | 2009-08-01 ~ 2010-07-31 |
| Michael Stavola | 4202 E Shea Blvd, Phoenix, AZ 85028 | Hairdresser/cosmetician | 2006-03-07 ~ 2008-04-30 |
| Michael Gilman | 2505 East Carol Ave, Phoenix, AZ 85028 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Donald I Pomerantz | 2884 East Beryl Ave, Phoenix, AZ 85028 | Chiropractor | 1992-02-24 ~ 1993-02-28 |
| Linda W Rhodes | 4411 East North Lane, Phoenix, AZ 85028 | Registered Nurse | 2000-10-04 ~ 2001-11-30 |
| Find all Licenses in zip 85028 | |||
| City | PHOENIX |
| Zip Code | 85028 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHOENIX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Michael Mohrer | 1 Theall Road, Rye, NY 10580 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Chad J. Hays | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2017-10-20 ~ 2018-06-30 |
| Chad W Coeyman | 629 Lowther Rd # D, Lewisberry, PA 17339-9527 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Chad D Sagnella | 58 Fair Street, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Chad A Davis | 230 Russo Ave, East Haven, CT 06513 | Physician/surgeon | 2001-04-27 ~ 2002-04-30 |
| Chad L Calendine | 3024 Business Park Circle, Goodlettsville, TN 37072 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Daniel R Canchola | CT | Physician/surgeon | ~ |
| Chad's Landscaping & Design LLC · Chad Landscapes | 375 Courtland Ave, Bridgeport, CT 06605 | Home Improvement Contractor | 2014-12-01 ~ 2015-11-30 |
| Michael Dow Pa | 23 Daniel St, East Hampton, CT 06424 | Physician Assistant | 2007-05-18 ~ 2008-07-31 |
Please comment or provide details below to improve the information on CHAD MICHAEL DANIEL.
| 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).