HEATHER L SIBLEY MD (Credential# 561249) 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.
HEATHER L SIBLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043667. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 130 S Brooksvale Rd, Cheshire, CT 06410-3512. The current status is active.
| Licensee Name | HEATHER L SIBLEY MD |
| Credential ID | 561249 |
| Credential Number | 1.043667 |
| Credential Type | Physician/Surgeon |
| Business Address |
130 S Brooksvale Rd Cheshire CT 06410-3512 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 413447 | CSP.0038020 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-08-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 130 S BROOKSVALE RD |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan L Fusco | 244 S Brooksvale Rd, Cheshire, CT 06410-3512 | Emergency Medical Technician | 2019-12-24 ~ 2022-09-30 |
| Tracy L Fontaine | 128 S Brooksvale Rd, Cheshire, CT 06410-3512 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Mikayla L Golebiewski | 128 S Brooksvale Rd, Cheshire, CT 06410-3512 | Emergency Medical Technician | 2017-01-04 ~ 2020-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Sibley · Sibley Construction | 15 Oaken Rd, Bristol, CT 06010 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Heather Dianne Bisbee | 101 S Paul Dr, Sibley, MO 64088 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Pamela K Sibley · Peter B Sibley | 27 Powder Hill Rd, Middlefield, CT 06455 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
| Heather C Healy Do | 18 Griswold Dr, W Hartford, CT 06119 | Physician/surgeon | 2004-04-23 ~ 2005-03-31 |
| Heather X Cereste | 7 Riversville Rd, Greenwich, CT 06831-3684 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Stephen N Harris | 84 Heather Dr, New Canaan, CT 06840-5224 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Thomas W Hansen | 694 Heather Ln, Sanibel, FL 33957-5108 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Heather M Kempczinski | 12 Evergreen Avenue, Rye, NY 10580 | Physician/surgeon | 2003-02-24 ~ 2004-02-29 |
| Heather K. Hamilton | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).