DANIEL E VIDERS (Credential# 559801) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE IN RENEWAL.
DANIEL E VIDERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042219. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 207 Southbridge St, Auburn, MA 01501. The current status is active in renewal.
Licensee Name | DANIEL E VIDERS |
Credential ID | 559801 |
Credential Number | 1.042219 |
Credential Type | Physician/Surgeon |
Business Address |
207 Southbridge St Auburn MA 01501 |
Business Type | INDIVIDUAL |
Status | ACTIVE IN RENEWAL - CURRENT |
Active | 1 |
Issue Date | 2004-03-15 |
Effective Date | 2019-04-01 |
Expiration Date | 2020-03-31 |
Refresh Date | 2019-01-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
366458 | CSP.0034701 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-25 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 207 SOUTHBRIDGE ST |
City | AUBURN |
State | MA |
Zip Code | 01501 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patricia J Foley | 18 Eastford Rd., Auburn, MA 01501 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
Amy Lynn Bisson | 489 Washington Street, Auburn, MA 01501 | Real Estate Salesperson | 2018-09-04 ~ 2019-05-31 |
Karen Jean Delagorgendiere | 386 Rochdale Street, Auburn, MA 01501 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Anthony F Khattar | 228 Leicester Street, Auburn, MA 01501 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Paul V Rice Jr | 80 Jerome Ave, Auburn, MA 01501 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Midpoint Engineering + Consulting LLC | 826 Southbridge Street, Auburn, MA 01501 | Professional Engineering Corporation | 2020-01-13 ~ 2021-01-12 |
Kevin R Seaman | 263 South St, Auburn, MA 01501 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Katherine E Kelley | 7 Coolidge St, Auburn, MA 01501 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Scott David Henderson | 7 Hilltop Farm Rd, Auburn, MA 01501 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Jennifer Renee Barnes | 20 June Street, Auburn, MA 01501 | Notary Public Appointment | 2017-03-01 ~ 2022-02-28 |
Find all Licenses in zip 01501 |
City | AUBURN |
Zip Code | 01501 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + AUBURN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph W Pawlik Md | 2544 Daniel Island Dr, Daniel Island, SC 29492-8905 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Daniel R Canchola | CT | Physician/surgeon | ~ |
Daniel Owens | 921 S Adams St, Hinsdale, IL 60521-4315 | Physician/surgeon | ~ |
Daniel Q. Levin | 69 5th Ave Apt 14g, New York, NY 10003-3009 | Physician/surgeon | 2014-02-19 ~ 2015-02-28 |
Daniel I Silvershein | Pleasantville, NY 10570 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
Daniel R. Wolpaw | Po Box 431, Agawam, MA 01001-0431 | Physician/surgeon | 1981-09-09 ~ 1982-03-31 |
Daniel E Stuckey | Po Box 698, Katy, TX 77492 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Daniel A Moses | 16 Bathurst St., NSW 2025 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Daniel Becker | 3 Westview Rd, Brookline, NH 03033-4421 | Physician/surgeon | ~ |
Daniel S Ebbs | 788 E Spruce Ave, Fresno, CA 93720-3017 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DANIEL E VIDERS.
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).