JULIE ANN H PHENCO (Credential# 564446) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 30, 2008. The license expiration date date is July 31, 2009. The license status is INACTIVE.
JULIE ANN H PHENCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046864. The credential type is physician/surgeon. The effective date is July 30, 2008. The expiration date is July 31, 2009. The business address is 554 Silas Deane Hwy, Wethersfield, CT 06109. The current status is inactive.
| Licensee Name | JULIE ANN H PHENCO |
| Credential ID | 564446 |
| Credential Number | 1.046864 |
| Credential Type | Physician/Surgeon |
| Business Address |
554 Silas Deane Hwy Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-07-30 |
| Effective Date | 2008-07-30 |
| Expiration Date | 2009-07-31 |
| Refresh Date | 2010-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 415848 | CSP.0038308 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 554 Silas deane Hwy |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas J Murphy | 554 Silas Deane Hwy, Wethersfield, CT 06109 | Electrical Unlimited Contractor | 2006-10-01 ~ 2007-09-30 |
| Julia Rodriguez | 554 Silas Deane Hwy, Wethersfield, CT 06109-2228 | Hairdresser/cosmetician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Wethersfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie Yip | 60 Temple St Ste 6a, New Haven, CT 06510-2716 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Julie A Cirillo | 18 B1 Lakeshore Dr, Farmington, CT 06032 | Physician/surgeon | 1997-06-16 ~ 1998-08-31 |
| Julie Nagpal | 14 Independence Way, Edgewater, NJ 07020-1642 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Julie D Reimann | 2 Wells Ave, Newton, MA 02459-3225 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Julie H Oldroyd | 423 Whitney Ave #15, New Haven, CT 06511 | Physician/surgeon | ~ 1997-03-31 |
| Julie L Sweeney Md | 14 Hickory Ln, Darien, CT 06820-3210 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| Julie A Vernon | 62 Northgate, Avon, CT 06001 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julie C Choi Md | 5 Duhamel Dr, Hopewell Jct, NY 12533-5364 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Julie A Monroe | 10 Halliday Ct, Purchase, NY 10577-2012 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julie Shih | 46 Prince St Ste 207, New Haven, CT 06519-1600 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).