LUIS TEBA (Credential# 884471) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.
LUIS TEBA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048123. The credential type is physician/surgeon. The effective date is December 1, 2013. The expiration date is November 30, 2014. The business address is Po Box 400, Wallingford, CT 06492-7048. The current status is inactive.
| Licensee Name | LUIS TEBA |
| Credential ID | 884471 |
| Credential Number | 1.048123 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 400 Wallingford CT 06492-7048 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-09-11 |
| Effective Date | 2013-12-01 |
| Expiration Date | 2014-11-30 |
| Refresh Date | 2015-03-05 |
| Street Address | PO Box 400 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-7048 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gaylord Farm Rehabilitation Center Inc | Po Box 400, Wallingford, CT 06492-7048 | Public Charity | 2019-09-01 ~ 2020-08-31 |
| Brian T Kucer Md | Po Box 400, Wallingford, CT 06492-7048 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Gaylord Foundation Inc. | Po Box 400, Wallingford, CT 06492 | Public Charity-exempt From Financial Requirements | ~ |
| Gaylord Hospital Inc | Po Box 400, Wallingford, CT 06492-7048 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis Teba Md | 140 Thompson St. West, East Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Luis F Bieler | 84-23 Manton St 3-a, Briarwood, NY 11435 | Physician/surgeon | ~ 1996-11-30 |
| Luis T Aspauza | Ave Montagne 198, Lima 18 | Physician/surgeon | 1996-07-29 ~ 1997-04-30 |
| Luis A Royer-jerez | Po Box 809, Logan, WV 25601 | Physician/surgeon | 1998-03-09 ~ 1999-02-28 |
| Luis R Gonzalez Md | Po Box 1451, Hartford, CT 06144 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Luis E Berrutti | 7 Village Dr., Huntington, NY 11743 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Luis A Avalos Md | 92 Strawberry St, Lisbon, CT 06351 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Luis B Suarez | 1450 Chapel St # 136, New Haven, CT 06511-4405 | Physician/surgeon | 2015-11-18 ~ 2016-11-30 |
| Luis R Cruz | 6 Roxbury Lane, Wallingford, CT 06492 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Luis Chapman | 805 Atlantic Street, Stamford, CT 06902 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Please comment or provide details below to improve the information on LUIS TEBA.
| 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).