DAWN C RICHARDSON MD (Credential# 559562) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
DAWN C RICHARDSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041980. The credential type is physician/surgeon. The effective date is February 25, 2005. The expiration date is February 28, 2006. The business address is 101 Phoenix Ave Ste 2c, Enfield, CT 06082. The current status is inactive.
Licensee Name | DAWN C RICHARDSON MD |
Credential ID | 559562 |
Credential Number | 1.041980 |
Credential Type | Physician/Surgeon |
Business Address |
101 Phoenix Ave Ste 2c Enfield CT 06082 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-11-10 |
Effective Date | 2005-02-25 |
Expiration Date | 2006-02-28 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
356460 | CSP.0034406 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 101 PHOENIX AVE STE 2C |
City | ENFIELD |
State | CT |
Zip Code | 06082 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William B Richardson Md | 101 Phoenix Ave Ste 2c, Enfield, CT 06082 | Physician/surgeon | 2007-03-02 ~ 2008-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06082 |
City | ENFIELD |
Zip Code | 06082 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ENFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maurice D Richardson | 1 Greenwich Pl, Shelton, CT 06484-7603 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Ofobuike N Okani | 333 Prestonwood Dr, Richardson, TX 75081 | Physician/surgeon | ~ 1995-04-30 |
William B Richardson Md | 101 Phoenix Ave Ste 2c, Enfield, CT 06082 | Physician/surgeon | 2007-03-02 ~ 2008-02-29 |
Riad Abou Zahr | 430 Buckingham Rd Apt 730, Richardson, TX 75081-5757 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Frederick L Richardson Md | 111 Hamlet Hill, Baltimore, MD 21210 | Physician/surgeon | 2003-04-25 ~ 2004-05-31 |
Navin K Gazi | 4036 Kyndra Cir, Richardson, TX 75082-2762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Elbert G Richardson Md | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Aubrey W Richardson | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David W Richardson | 67 Ridgewood Road, West Hartford, CT 06107 | Physician/surgeon | 2002-06-19 ~ 2003-06-30 |
Sreenadha R Vattam | Sweet Water Ranch, Richardson, TX 75081 | Physician/surgeon | 2006-05-25 ~ 2007-07-31 |
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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).