STEVEN R DIETERICH
Physician/surgeon


Address: 13 Church Rd, East Granby, CT 06026

STEVEN R DIETERICH (Credential# 542843) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.

Business Overview

STEVEN R DIETERICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018693. The credential type is physician/surgeon. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 13 Church Rd, East Granby, CT 06026. The current status is inactive.

Basic Information

Licensee Name STEVEN R DIETERICH
Credential ID 542843
Credential Number 1.018693
Credential Type Physician/Surgeon
Business Address 13 Church Rd
East Granby
CT 06026
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1977-03-30
Effective Date 2016-06-01
Expiration Date 2017-05-31
Refresh Date 2017-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
153562 CSP.0003244 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-01 - 2017-02-28 INACTIVE
160319 CSP.0018454 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE
153563 CSP.0011832 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-03-01 - 1997-02-28 INACTIVE

Office Location

Street Address 13 CHURCH RD
City EAST GRANBY
State CT
Zip Code 06026

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
David R Howlett 13 Church Rd, East Granby, CT 06026 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Edward M Ewald 13 Church Rd, East Granby, CT 06026 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lori R Maglieri 8 Longview Dr, East Granby, CT 06026 Registered Nurse 2020-09-01 ~ 2021-08-31
Donna R Baker-gilroy · Baker 48 Hatchet Hill Lane, East Granby, CT 06026 Professional Counselor 2020-09-01 ~ 2021-08-31
Steven R Porter 31 Ford St Apt 2, East Granby, CT 06026 Youth Camp Director 2020-06-22 ~
Keith Mckinney 8 Schoolhouse Landing, East Granby, CT 06026 Medication Administration Certification 2020-06-22 ~ 2022-06-22
Jill Mcgarry Lnm 12 Southwood Ln, East Granby, CT 06026 Registered Nurse 2020-09-01 ~ 2021-08-31
Fun Miller 5 Old Church Rd, East Granby, CT 06026 Nail Technician 2020-06-13 ~ 2021-09-30
Patricia A Moon 32 Brighton Drive, East Granby, CT 06026 Dental Hygienist 2020-08-01 ~ 2021-07-31
Sydney Rose Jeanloz 135 Spoonville Rd, East Granby, CT 06026 Registered Nurse 2020-07-01 ~ 2021-06-30
Megan M Rosol 7 Sage Lane, East Granby, CT 06026 Real Estate Salesperson 2020-06-05 ~ 2021-05-31
Vanessa Martin 7 Stark Drive, East Granby, CT 06026 Esthetician ~
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Competitor

Search similar business entities

City EAST GRANBY
Zip Code 06026
License Type Physician/Surgeon
License Type + County Physician/Surgeon + EAST GRANBY

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Dataset Information

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).

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