EDWARD J FREDERICKS (Credential# 540694) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.
EDWARD J FREDERICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013355. The credential type is physician/surgeon. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 9608 53rd Terrace East, Bradenton, FL 34211. The current status is inactive.
| Licensee Name | EDWARD J FREDERICKS |
| Credential ID | 540694 |
| Credential Number | 1.013355 |
| Credential Type | Physician/Surgeon |
| Business Address |
9608 53rd Terrace East Bradenton FL 34211 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1968-03-20 |
| Effective Date | 2013-09-01 |
| Expiration Date | 2014-08-31 |
| Refresh Date | 2014-07-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151799 | CSP.0005120 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 9608 53rd Terrace East |
| City | Bradenton |
| State | FL |
| Zip Code | 34211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra L Fournier | 12815 Sorrento Way, Bradenton, FL 34211 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Patricia R Bissonnette | 11339 Spring Gate Trail, Lakewood Ranch, FL 34211 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Casaundra A Stoner | 5043 Sunnyside Lane, Bradenton, FL 34211 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| William E Jacques | 4927 88th Street East, Bradenton, FL 34211 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Laura E Schmitt-quigley | 11308 Spring Gate Trail, Lakewood Ranch, FL 34211 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Robert Steciak | 17205 Blue Ridge Place, Lakewood Ranch, FL 34211 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Vincent J Love, Jr | 5230 Napoli Run, Bradenton, FL 34211 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Brandon L Parra | 5037 Skyview Lane, Bradenton, FL 34211 | Electrical Limited Journeyperson | 2018-10-01 ~ 2019-09-30 |
| Maria R Sacco | 13045 Sorrento Way, Bradenton, FL 34211 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Richard S Levin | 11622 Piedmont Park Xing, Bradenton, FL 34211 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 34211 | |||
| City | Bradenton |
| Zip Code | 34211 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bradenton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Fredericks · Fredericks Construction | 192 E Flag Swamp Rd, Roxbury, CT 06783-2118 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Samantha Fredericks · Fredericks | 20 Perkins Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-03-01 ~ 2022-02-28 |
| Edward W Fredericks Jr | R F D 2 Tuttle Road, Durham, CT 06422 | Notary Public Appointment | 1976-12-01 ~ 1981-03-31 |
| Alfred E Fredericks | 59 Elika Road, Wallingford, CT 06492 | Certified Public Accountant Firm Permit | 1984-01-01 ~ 1984-12-31 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on EDWARD J FREDERICKS.
| 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).