FREDA O BOATENG MD (Credential# 563393) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
FREDA O BOATENG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045811. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2795 Cathedral Rock Way, Dublin, CA 94568. The current status is active.
| Licensee Name | FREDA O BOATENG MD |
| Credential ID | 563393 |
| Credential Number | 1.045811 |
| Credential Type | Physician/Surgeon |
| Business Address |
2795 Cathedral Rock Way Dublin CA 94568 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 485918 | CSP.0042760 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-10-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 379991 | CSP.0035807 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-13 | 2004-09-13 - 2005-02-28 | INACTIVE |
| Street Address | 2795 Cathedral Rock Way |
| City | Dublin |
| State | CA |
| Zip Code | 94568 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amelia B Nichol | 4512 Central Pkwy, Dublin, CA 94568 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nan Li | 2627 Bassetts Way, Dublin, CA 94568 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Ensaaf Inc | 4050 Chalk Hill Way, Dublin, CA 94568 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Michael C Levasseur | 3736 Fallon Rd, Dublin, CA 94568 | Paramedic | 2019-07-01 ~ 2020-06-30 |
| Fiona W. Chan | Po Box 2873, Dublin, CA 94568 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| On Light Sciences, Inc. | 7852 Starward Drive, Dublin, CA 94568 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-03-04 ~ |
| Gregory John Madalena | 3637 Dublin Blvd, Dublin, CA 94568 | Engineer-in-training | 2001-03-13 ~ 2011-03-13 |
| Jo A Hilton | 5300 Iron Horse Parkway, Suite 433, Dublin, CA 94568 | Hairdresser/cosmetician | 2008-10-31 ~ 2010-07-31 |
| Longs Drug Store #495 | 7201 Regional Street, Dublin, CA 94568 | Nonresident Pharmacy | 2004-09-01 ~ 2005-08-31 |
| Kamaljit Bagha | Po Box 2607, Dublin, CA 94568-0260 | Professional Engineer | 2019-12-03 ~ 2021-01-31 |
| Find all Licenses in zip 94568 | |||
| City | Dublin |
| Zip Code | 94568 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Dublin |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yaw Otchere-boateng | 1005 Carrington Court, Kingsport, TN 37660 | Physician/surgeon | 2008-04-24 ~ 2009-05-31 |
| Benjamin J Freda Do | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| S Freda Corp | 65 Putnam Park Rd, Bethel, CT 06801-2908 | Home Improvement Contractor | 2019-08-26 ~ 2020-11-30 |
| Freda Excavation Inc | 87 Lakeside Dr, Ridgefield, CT 06877-2116 | Home Improvement Contractor | 2017-03-20 ~ 2017-11-30 |
| Hilda Marfo Boateng | 71 Field Street, First Floor, Bristol, CT 06010 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Carla G Bruning | 98 W El Freda Road, Tempe, AZ 85284 | Physician Assistant | 2003-04-28 ~ 2004-04-30 |
| Doris Boateng | 28 Prospect St Apt 13, Manchester, CT 06040-5866 | Pharmacy Technician | 2008-04-09 ~ 2009-03-31 |
| Anita Boateng | 165 Sigourney St, Hartford, CT 06105-1977 | Massage Therapist | 2019-08-02 ~ 2021-06-30 |
| Yaa Boateng Owusu | 175 Tudor Ln Apt B, Manchester, CT 06042-8221 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Richard Boateng | 2035 Marmion Ave 5c, Bronx, NY 10460 | Registered Nurse | 2007-03-09 ~ 2008-04-30 |
Please comment or provide details below to improve the information on FREDA O BOATENG 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).