BEN TEN (Credential# 1035609) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
BEN TEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050353. The credential type is physician/surgeon. The effective date is September 27, 2011. The expiration date is March 31, 2012. The business address is 52 Smith Farm Rd, Amston, CT 06231-1241. The current status is inactive.
Licensee Name | BEN TEN |
Credential ID | 1035609 |
Credential Number | 1.050353 |
Credential Type | Physician/Surgeon |
Business Address |
52 Smith Farm Rd Amston CT 06231-1241 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-09-27 |
Effective Date | 2011-09-27 |
Expiration Date | 2012-03-31 |
Refresh Date | 2015-12-23 |
Street Address | 52 SMITH FARM RD |
City | AMSTON |
State | CT |
Zip Code | 06231-1241 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah C Deluca | 52 Smith Farm Rd, Amston, CT 06231-1241 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicholas Maulucci | 74 Smith Farm Rd, Amston, CT 06231-1241 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
Raymond O Craven Md | 88 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Zhen Feng | 102 B3 Wellswood Rd, Amston, CT 06231 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Rosalie Ann Simichak | 70 Grayville Rd, Amston, CT 06231 | Professional Counselor | 2020-06-25 ~ 2020-09-30 |
Sheila M Cordner | 208 Reidy Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Peter A Ciotto | 139 Burrows Hill Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Kathryn L Hnat | 101 Old Colchester Road, Amston, CT 06231 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Lena Ann Rabbitt | 86 Smith Farm Road, Amston, CT 06231 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Cameron Michael Lettieri | 351 Old Colchester Road, Amston, CT 06231 | Emergency Medical Technician | ~ |
Gillian Denizkurt | 22 Heron Hill, Hebron, CT 06231 | Emergency Medical Technician | ~ |
Terri P Hayes | 246 Old Hartford Road, Amston, CT 06231 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Justin P Toussaint | 116 Cannon Drive, Amston, CT 06231 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Find all Licenses in zip 06231 |
City | AMSTON |
Zip Code | 06231 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + AMSTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).