GENEVIEVE A HENRY (Credential# 924791) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
GENEVIEVE A HENRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049048. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Masonicare Health Center, Wallingford, CT 06492. The current status is active.
| Licensee Name | GENEVIEVE A HENRY |
| Credential ID | 924791 |
| Credential Number | 1.049048 |
| Credential Type | Physician/Surgeon |
| Business Address |
Masonicare Health Center Wallingford CT 06492 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-26 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 986270 | CSP.0049680 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | MASONICARE HEALTH CENTER |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| 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 |
|---|---|---|---|
| Niranjana Raju | 930 Park Dr, Ste Genevieve, MO 63670 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Genevieve A John Md | 2150 Blackrock Turnpike, Fairfield, CT 06825 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Henry Lee | 760 Saybrook Rd, Middletown, FL 06457 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
| Henry B Low | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Henry Lin | 25 Newell Rd Ste C-4, Bristol, CT 06010-5100 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Henry M Spinelli | 875 5th Ave, New York, NY 10065-4952 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Henry C Hsia | Po Box 1578, New York, NY 10113-1578 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Henry J Fox Md | 2660 Main St, Bridgeport, CT 06606 | Physician/surgeon | 2000-03-20 ~ 2001-05-31 |
| Henry D Cremisi | 27 Quinebaug Ave, Putnam, CT 06260-1943 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
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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).