TREVOR M BANACK (Credential# 991530) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
TREVOR M BANACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050033. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 697 Andrea Court, Cheshire, CT 06410. The current status is active.
| Licensee Name | TREVOR M BANACK |
| Credential ID | 991530 |
| Credential Number | 1.050033 |
| Credential Type | Physician/Surgeon |
| Business Address |
697 Andrea Court Cheshire CT 06410 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-28 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 446238 | CSP.0039884 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-10-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 697 Andrea Court |
| City | Cheshire |
| State | CT |
| Zip Code | 06410 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David E Gaudio | 697 Andrea Court, Cheshire, CT 06410 | Pharmacist | 2011-02-01 ~ 2012-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | Cheshire |
| Zip Code | 06410 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Cheshire |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherry T Banack | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Trevor Tejada-berges | 101 Dudley Street, Providence, RI 02905 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Howard Trevor Brown · Trevor Brown Services | 23 White Birch Road, Weston, CT 06883 | Home Improvement Contractor | 1999-06-01 ~ 1999-11-30 |
| Trevor Fleischmann | 11 Hartfield Rd, Portland, CT 06480-1056 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Trevor Project Inc | 8704 Santa Monica Blvd Ste 200, West Hollywood, CA 90069-4548 | Public Charity | 2019-08-06 ~ 2020-06-30 |
| Trevor Thorington | 252 Ethan Drive, Windsor, CT 06095 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Sumita D Butani | 20 Trevor Place, Matawan, NJ 07747 | Naturopathic Physician | 2017-08-01 ~ 2018-07-31 |
| Trevor B Long · Trevor Long Painting & Home Imprvmt | 455 Cornwall St, Hartford, CT 06112-1112 | Home Improvement Contractor | 2020-05-29 ~ 2020-11-30 |
| Trevor Off-broadway Ltd Liability Co. | 230 W 41st St, Ste 1703, New York, NY 10036 | Securities - Exemptions | 2020-03-13 ~ |
| Nancy R Banack | 13 Cornwell Rd, Wallingford, CT 06492 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on TREVOR M BANACK.
| 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).