J E FREDRIK ZETTERBERG (Credential# 543956) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
J E FREDRIK ZETTERBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022040. The credential type is physician/surgeon. The effective date is May 1, 2019. The expiration date is April 30, 2020. The business address is 19 Sunset Hill Drive, Branford, CT 06405-6425. The current status is active.
Licensee Name | J E FREDRIK ZETTERBERG |
Credential ID | 543956 |
Credential Number | 1.022040 |
Credential Type | Physician/Surgeon |
Business Address |
19 Sunset Hill Drive Branford CT 06405-6425 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1980-04-23 |
Effective Date | 2019-05-01 |
Expiration Date | 2020-04-30 |
Refresh Date | 2019-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
154455 | CSP.0014137 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 19 Sunset Hill Drive |
City | BRANFORD |
State | CT |
Zip Code | 06405-6425 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine Shannon | 114 Totoket Rd, Branford, CT 06405-6425 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
Find all Licenses in zip 06405 |
City | BRANFORD |
Zip Code | 06405 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRANFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fredrik J Scimone | 2 Country Way, Wallingford, CT 06492 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Fredrik Savage | 500 Bedford St Apt 122, Stamford, CT 06901-1505 | Home Improvement Salesperson | 2014-09-10 ~ 2015-11-30 |
Fredrik G Jones | 15 Rhodora Terrace, Windsor, CT 06095 | Real Estate Salesperson | ~ |
Fredrik W Klonowski | 44-01 21st St., 3rd Fl, Long Island City, NY 11101 | Asbestos Abatement Worker | 2009-11-01 ~ 2010-10-31 |
Hans-fredrik Gustafson | 4 Daniels Farm Road 323, Trumbull, CT 06611 | Real Estate Salesperson | 2003-06-09 ~ 2004-05-31 |
Fredrik Thor Holth | 170 Blood Street, Lyme, CT 06371 | Notary Public Appointment | 2015-12-23 ~ 2020-12-31 |
Fredrik Nordsjo | 46 Avenue Blanc, Geneva 1202 Switzerland | Certified Public Accountant License | 2000-01-01 ~ 2000-12-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on J E FREDRIK ZETTERBERG.
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).