NATALIE S CRUMP (Credential# 1037267) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.
NATALIE S CRUMP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050472. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 909 Falls View Rd, Manchester, CT 06042. The current status is inactive.
| Licensee Name | NATALIE S CRUMP |
| Credential ID | 1037267 |
| Credential Number | 1.050472 |
| Credential Type | Physician/Surgeon |
| Business Address |
909 Falls View Rd Manchester CT 06042 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-12-08 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2015-08-31 |
| Refresh Date | 2015-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 891910 | CSP.0046334 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-09-02 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 909 FALLS VIEW RD |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Marte | 710 W 173rd St Apt 27, New York, NY 10032-1104 | Physician/surgeon | ~ |
| Natalie De Leuchtenberg Md | Chcp, New Haven, CT 06511 | Physician/surgeon | 1999-01-06 ~ 2000-02-29 |
| Natalie Albala Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-06-29 ~ 2007-03-31 |
| Natalie M Madison | Po Box 60233, Potomac, MD 20859-0233 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Natalie Neumann | 1411 Clayton St Apt 1, Denver, CO 80206-2400 | Physician/surgeon | 2020-05-11 ~ 2020-11-30 |
| Natalie S Komaiszko Md | 46 Northfield Road, Longmeadow, MA 01106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Natalie Catherine Webb | Wchc, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Natalie R Simmons | 145 Daydream Ave # 4108, Wildlight, FL 32097-5438 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Natalie Rebecca Shilo | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Natalie Jean Snodgrass | 772 Sw 136th Street, Newberry, FL 32669 | Physician/surgeon | 2018-04-03 ~ 2019-04-30 |
Please comment or provide details below to improve the information on NATALIE S CRUMP.
| 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).