JOSEPH W TUCKER MD (Credential# 564245) 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.
JOSEPH W TUCKER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046663. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 11 South Road, Farmington, CT 06030. The current status is active.
| Licensee Name | JOSEPH W TUCKER MD |
| Credential ID | 564245 |
| Credential Number | 1.046663 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 South Road Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-06-23 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 448949 | CSP.0040528 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 11 South Road |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Chang | 11 South Road, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2020-01-27 ~ 2021-02-28 |
| Julianna Dannenhoffer | 11 South Road, Farmington, CT 06032-2484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas M Manger Md | 11 South Road, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edwin R Cruz-zeno | 11 South Road, Farmington, CT 06032 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph D Demayo | 73 Tucker Ave Fl 2, Oakville, CT 06779-1626 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Dimitry Zilberman | 81 Tucker St, Danbury, CT 06810-5133 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel M Tucker | 777 Memorial Dr Se, Atlanta, GA 30316 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Elmo G Tucker | 137 Ledge Road, So. Thomaston, ME 04858 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Douglas B Tucker | United Healthcare, Syracuse, NY 13221 | Physician/surgeon | 2002-12-30 ~ 2003-12-31 |
| Stephen R Tucker | 35 Fallon Drive, Stratford, CT 06497 | Physician/surgeon | 1994-06-02 ~ 1995-02-28 |
| Jeremy D Tucker | 4535 Dressler Road Nw, Canton, OH 44718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jolyon S Tucker | 89 Brookside Drive, West Hartford, CT 06107 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Jessamine R Goerner | 231 Tucker Hill Road, Middlebury, CT 06762 | Physician/surgeon | 2002-03-25 ~ 2003-03-31 |
| Heidi Marie Tucker | 12 Michelec Rd, Stafford Springs, CT 06076 | Physician/surgeon | 2019-07-01 ~ 2020-07-31 |
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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).