EVANS H DANIELS JR (Credential# 538859) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 2, 2004. The license expiration date date is September 30, 2005. The license status is INACTIVE.
EVANS H DANIELS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007354. The credential type is physician/surgeon. The effective date is August 2, 2004. The expiration date is September 30, 2005. The business address is 303 Garden Street, Wethersfield, CT 06109. The current status is inactive.
Licensee Name | EVANS H DANIELS JR |
Credential ID | 538859 |
Credential Number | 1.007354 |
Credential Type | Physician/Surgeon |
Business Address |
303 Garden Street Wethersfield CT 06109 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1953-11-03 |
Effective Date | 2004-08-02 |
Expiration Date | 2005-09-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
152632 | CSP.0002927 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 303 GARDEN STREET |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John C Daniels | Po Box 788, Pawling, NY 12564 | Physician/surgeon | 1999-05-06 ~ 2000-05-31 |
Yvonne C. Moreno | 32 Daniels Rd, Falmouth, MA 02540-1931 | Physician/surgeon | 2013-02-01 ~ 2014-02-28 |
Fely C Tan | 735 Daniels Farm Rd, Trumbull, CT 06611 | Physician/surgeon | 1999-10-14 ~ 2000-07-31 |
Urmil Dhanda | 8218 Daniels, Millersville, MD 21108 | Physician/surgeon | 2000-08-22 ~ 2001-09-30 |
Alicia Daniels | 79 Route 37 W Ste 103, Toms River, NJ 08755-6405 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jose Manuel N Tan Md | 735 Daniels Farm Rd, Trumbull, CT 06611 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
Edward M Daniels | 26 Lyman Rd, Chestnut Hill, MA 02167 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
William E Evans Jr | 15 Cullen Way, Exeter, NH 03833-4309 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Cassandra B Evans | 6125 N 3rd Ave, Phoenix, AZ 85013 | Physician/surgeon | 2019-09-25 ~ 2020-08-31 |
Elizabeth Y Evans Md | Po Box 681946, Charlotte, NC 28216 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).