DANIEL M TUCKER (Credential# 551271) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
DANIEL M TUCKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033672. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 777 Memorial Dr Se, Atlanta, GA 30316. The current status is active.
| Licensee Name | DANIEL M TUCKER |
| Credential ID | 551271 |
| Credential Number | 1.033672 |
| Credential Type | Physician/Surgeon |
| Business Address |
777 Memorial Dr Se Atlanta GA 30316 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-04-29 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164285 | CSP.0022249 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 777 Memorial Dr SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica W Webb | 1345 Metropolitan Avenue Se, Atlanta, GA 30316 | Registered Nurse | 2020-06-24 ~ 2014-06-30 |
| Colgate Mattress Atlanta Corp | 779 Fulton Terrace Se, Atlanta, GA 30316 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Kevin O'laughlin | 597 Pickett Street, Atlanta, GA 30316 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jacqueline Jefferson | 2511 Villiage Creek Lnd Se, Atlanta, GA 30316 | Master's Level Social Worker | 2020-02-01 ~ 2021-01-31 |
| Panesa Cecelia Payne | 248 Lamon Ave, Atlanta, GA 30316 | Registered Nurse | 2019-06-03 ~ 2020-06-30 |
| Tamika J Lott Md | 979 Glenwood Ave. Se, Atlanta, GA 30316 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Anna Kristine Roth | 486 Haas Ave Se, Atlanta, GA 30316-1651 | Registered Nurse | 2019-12-04 ~ 2020-10-31 |
| Sarah Elizabeth Moore | 584 Moreland Ave Se Unit A, Atlanta, GA 30316-1911 | Registered Nurse | 2016-09-02 ~ 2017-09-30 |
| Tameka Burroughs | 1205 Metropolitan Ave Se Apt 229, Atlanta, GA 30316-1975 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Amber M Lockhart | 1061 Moreland Ave Se, Atlanta, GA 30316-2569 | Registered Nurse - Temporary | 2013-12-18 ~ 2014-04-16 |
| Find all Licenses in zip 30316 | |||
| City | ATLANTA |
| Zip Code | 30316 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ATLANTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Tucker | 187 Wayne St, Jersey City, NJ 07302 | Physician Assistant | 1997-09-24 ~ 1998-09-30 |
| Joseph D Demayo | 73 Tucker Ave Fl 2, Oakville, CT 06779-1626 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Dimitry Zilberman | 81 Tucker St, Danbury, CT 06810-5133 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephen R Tucker | 35 Fallon Drive, Stratford, CT 06497 | Physician/surgeon | 1994-06-02 ~ 1995-02-28 |
| Elmo G Tucker | 137 Ledge Road, So. Thomaston, ME 04858 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Douglas B Tucker | United Healthcare, Syracuse, NY 13221 | Physician/surgeon | 2002-12-30 ~ 2003-12-31 |
| Joseph W Tucker Md | 11 South Road, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jolyon S Tucker | 89 Brookside Drive, West Hartford, CT 06107 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Heidi Marie Tucker | 12 Michelec Rd, Stafford Springs, CT 06076 | Physician/surgeon | 2019-07-01 ~ 2020-07-31 |
| Steven George Tucker | 8444 Sw 138th St., Palmetto Bay, FL 33158 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on DANIEL M TUCKER.
| 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).