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.
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.
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 |
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 |
Street Address | 13 CHURCH RD |
City | EAST GRANBY |
State | CT |
Zip Code | 06026 |
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 |
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 | ~ |
Find all Licenses in zip 06026 |
City | EAST GRANBY |
Zip Code | 06026 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EAST GRANBY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Steven Cohen | 20 Canvin St., Kirkland, QC H4H 4S4 | Physician/surgeon | ~ |
Steven R Mccoy | Po Box 640, Litchfield, CT 06759-0640 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
Steven Lu Md | 365 Montauk Ave Rm 4-512, New London, CT 06320 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Steven S Ham | 41 Ridge Ct, Oakville, CT 06779 | Physician/surgeon | 1997-11-14 ~ 1998-11-30 |
Steven J Bennett Do | 13 Cos Cob Ave Unit A, Cos Cob, CT 06807-2116 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Steven J. Blumenfrucht | Teaneck, NJ 07666-2819 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
Steven M Southwick | P.o Box 548, Old Lyme, CT 06371 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Steven R Goodman | Po Box 325, Wallingford, CT 06492 | Physician/surgeon | 1989-08-11 ~ 1992-01-31 |
Steven Lee | 66 Patriot Rd, Southbury, CT 06488-1277 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Steven Jay Pearlman | 539 Danbury Rd, Wilton, CT 06897-2216 | Physician/surgeon | ~ |
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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).