RICHARD J ANTAYA MD (Credential# 554539) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
RICHARD J ANTAYA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036949. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 100 Tyler City Road, Orange, CT 06477. The current status is active.
| Licensee Name | RICHARD J ANTAYA MD |
| Credential ID | 554539 |
| Credential Number | 1.036949 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Tyler City Road Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-06-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 198198 | CSP.0027102 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 100 TYLER CITY ROAD |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary N Antaya | 100 Tyler City Road, Orange, CT 06477 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | ORANGE |
| Zip Code | 06477 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ORANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard M Pianti | 698 Ne 1st Ave, Miami, FL 33132 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard P. Goldmann | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | ~ |
| Richard J Given | 400 E 52nd St Apt 4c, New York, NY 10022-6415 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard M Gottlieb | Po Box 718, Sharon, CT 06069-0718 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Richard W Whitfield | Amc/westpost | Physician/surgeon | 1999-10-12 ~ 2000-11-30 |
| Richard W Long | 316 W 23 Rd., Erie, PA 16502 | Physician/surgeon | 2000-09-05 ~ 2001-09-30 |
Please comment or provide details below to improve the information on RICHARD J ANTAYA MD.
| 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).