SHERRY T BANACK (Credential# 547217) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SHERRY T BANACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028519. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1331 Silas Deane Highway, Wethersfield, CT 06109. The current status is active.
| Licensee Name | SHERRY T BANACK |
| Credential ID | 547217 |
| Credential Number | 1.028519 |
| Credential Type | Physician/Surgeon |
| Business Address |
1331 Silas Deane Highway Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-09-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155032 | CSP.0016095 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1331 SILAS DEANE HIGHWAY |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Candra L Smith-slatas | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Francis R Sablone | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
| Kim Marie Casner · William Raveis Real Estate Inc | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
| 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 |
|---|---|---|---|
| Trevor M Banack | 697 Andrea Court, Cheshire, CT 06410 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sherry B Banack | 31 Roberts Rd, Marlborough, CT 06447 | Real Estate Salesperson | 2001-06-01 ~ 2002-05-31 |
| Sherry Hui Yu | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
| William J Currao | 14 Sherry Dr, Southington, CT 06489-2842 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Sherry M Sheppard | 451 Heywood Ave, Orange, NJ 07050-2006 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Timothy M Sherry | 264 Elm Street, Northampton, MA 01060 | Physician/surgeon | 1990-03-23 ~ 1995-04-30 |
| Sherry L Gross | 40 Park Ave., 6h, New York, NY 10016 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Beth K Shimlock | 134 Sherry Lane, New Milford, CT 06776 | Physician/surgeon | 1999-08-25 ~ 2000-10-31 |
| Sherry Nashed | 24 Leonello Ln, Staten Island, NY 10307-2413 | Physician/surgeon | 2013-09-18 ~ 2014-02-28 |
Please comment or provide details below to improve the information on SHERRY T BANACK.
| 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).