ILA M HERCULES DDS (Credential# 703831) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is September 29, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.
ILA M HERCULES DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009379. The credential type is dentist. The effective date is September 29, 2008. The expiration date is September 30, 2009. The business address is 465 Buckland Hills Road, Manchester, CT 06042. The current status is inactive.
| Licensee Name | ILA M HERCULES DDS |
| Credential ID | 703831 |
| Credential Number | 2.009379 |
| Credential Type | Dentist |
| Business Address |
465 Buckland Hills Road Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-10-14 |
| Effective Date | 2008-09-29 |
| Expiration Date | 2009-09-30 |
| Refresh Date | 2010-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 391070 | CSP.0036834 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-01 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 465 BUCKLAND HILLS ROAD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Dentist |
| License Type + County | Dentist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hercules Pharmaceuticals Inc | 27 Seaview Blvd, Port Washington, NY 11050-4610 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Hercules Construction LLC | 695 Oakwood Ave, West Hartford, CT 06110-1506 | Home Improvement Contractor | 2019-12-26 ~ 2020-11-30 |
| Hercules Helping Hands LLC | 750 Main St, Hartford, CT 06103 | Homemaker Companion Agency | 2016-11-01 ~ 2017-10-31 |
| Hercules Home Improvements LLC | 188 Grand Ave Ste 1176, New Haven, CT 06513-3858 | Home Improvement Contractor | 2014-11-05 ~ 2015-11-30 |
| Hercules Home Improvements LLC | 264 Blatchley Ave, New Haven, CT 06513 | Home Improvement Contractor | 2020-06-09 ~ 2020-11-30 |
| Great Divide Hercules Double Ipa | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2010-03-27 ~ 2013-03-25 |
| Zara Hercules | 150 Edgepark Rd, White Plains, NY 10603-2106 | Podiatrist | 2018-02-01 ~ 2019-01-31 |
| Sipiwe M Chireka | 124 Cottonwood Ct, Hercules, CA 94547-1101 | Registered Nurse | 2015-10-01 ~ 2016-09-30 |
| Barbara W Chase | 601 N Hercules, Clearwater, FL 33765 | Registered Nurse | 2006-07-10 ~ 2007-07-31 |
| W Thomas Wasilefsky | 601 N Hercules Ave, Clearwater, FL 33765 | Real Estate Salesperson | 2013-06-01 ~ 2014-05-31 |
Please comment or provide details below to improve the information on ILA M HERCULES DDS.
| 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).