PAUL T DEKKER (Credential# 542859) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PAUL T DEKKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018722. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362. The current status is active.
Licensee Name | PAUL T DEKKER |
Credential ID | 542859 |
Credential Number | 1.018722 |
Credential Type | Physician/Surgeon |
Business Address |
1260 Silas Deane Hwy Wethersfield CT 06109-4362 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1977-04-26 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-12-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1264873 | CSP.0059334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-01-29 | 2019-03-01 - 2021-02-28 | ACTIVE |
153287 | CSP.0002945 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 1260 SILAS DEANE HWY |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109-4362 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Larry A Suecof | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | Podiatrist | 2020-03-01 ~ 2021-02-28 |
Diana Rachel Stern | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | Controlled Substance Registration for Practitioner | 2019-09-11 ~ 2021-02-28 |
David K Emmel | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kimberly A Ryan | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
John F Mullaney Md | 1260 Silas Deane Hwy, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel Morganstern | 1260 Silas Deane Hwy, Wethersfield, CT 06109-4362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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 |
---|---|---|---|
Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
Paul L Dalbec Md | Po Box 797, Brooklyn, CT 06234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
John S Misa | 178 9th St E Ste 300, St. Paul, MN 55101 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
Paul F Nee Md | 33 Germantown Rd Ste 2, Danbury, CT 06810-5039 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Hongwei Ma | 114 St Paul St #5, Brookline, MA 02146 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
Paul James Laveau | CT | Physician/surgeon | 1988-04-15 ~ 1990-06-30 |
L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
Paul G Morton Md | Irving, TX 75063 | Physician/surgeon | 2006-06-06 ~ 2007-03-31 |
Paul C Sullivan | 8 Ash St, Nantucket, MA 02554-3517 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
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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).