PATRICIA M TAN (Credential# 564536) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 3, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
PATRICIA M TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046954. The credential type is physician/surgeon. The effective date is September 3, 2008. The expiration date is April 30, 2009. The business address is 124 Greenwood Ave, Bethel, CT 06801. The current status is inactive.
| Licensee Name | PATRICIA M TAN |
| Credential ID | 564536 |
| Credential Number | 1.046954 |
| Credential Type | Physician/Surgeon |
| Business Address |
124 Greenwood Ave Bethel CT 06801 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-09-03 |
| Effective Date | 2008-09-03 |
| Expiration Date | 2009-04-30 |
| Refresh Date | 2009-08-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 891998 | CSP.0046371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION |
| Street Address | 124 Greenwood Ave |
| City | Bethel |
| State | CT |
| Zip Code | 06801 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Anthony Dulko | 6 Winthrop Road, Bethel, CT 06801 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Antonietta Sproviero-metaxas | 36 Quaker Ridge Road, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark K Roos | 6 Crestview Road, Bethel, CT 06801 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Susan Nguyen | 14b Cawley Ave., Bethel, CT 06801 | Esthetician | ~ |
| Blue Jay Orchards | 125 Plumtrees Rd, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Varano Bakery | 198 Greenwood Ave, Bethel, CT 06801 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nina M Kilcourse | 3 Bayberry Hill Rd, Bethel, CT 06801 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ralph Ramsdell · Big Y | 83 Stony Hill Road, Bethel, CT 06801 | Grocery Beer | 2020-04-18 ~ 2021-04-17 |
| Marilu F Jeton | 36 Weed Rd, Bethel, CT 06801 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Petagay V Hewitt | 44 Greenwood Avenue, Bethel, CT 06801 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06801 | |||
| City | Bethel |
| Zip Code | 06801 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bethel |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia B Close | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patricia C Reardon Md | Po Box 156, Mystic, CT 06355-0156 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Patricia D Beliveau | 194 W Bay Rd, Islesboro, ME 04848-4707 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Patricia A Ecker Md | 11 Woodland Rd, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Patricia H Choi | 66 Glenbrook, Stamford, CT 06902 | Physician/surgeon | 1999-07-02 ~ 2000-07-31 |
| Patricia M Pechter | 106 Liberty St, New York, NY 10006 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patricia A Barnes Md | 36 Center St # 193, Wolfeboro, NH 03894-4324 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Patricia Mcaleer Md | 13 Park St, Norwalk, CT 06851-4811 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Patricia E Cole Md | 831 Route 10 #224, Whippany, NJ 07981 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Patricia W Seo-mayer | 87 Glendale St, Hamden, CT 06517 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Please comment or provide details below to improve the information on PATRICIA M TAN.
| 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).