ALICIA D BECK PA (Credential# 1039295) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ALICIA D BECK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051614. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Saybrook Dermatology, Old Saybrook, CT 06475. The current status is active.
| Licensee Name | ALICIA D BECK PA |
| Credential ID | 1039295 |
| Credential Number | CSP.0051614 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Saybrook Dermatology Old Saybrook CT 06475 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-11-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1006817 | 23.002637 | Physician Assistant | 2011-09-12 | 2019-08-01 - 2020-07-31 | ACTIVE |
| 848488 | 70.008755 | Emergency Medical Technician | 2007-09-11 | 2009-06-23 - 2011-06-30 | INACTIVE |
| Street Address | Saybrook DERMATOLOGY |
| City | Old Saybrook |
| State | CT |
| Zip Code | 06475 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Koubao Wang | 119 Old Boston Post Rd, Old Saybrook, CT 06475 | Nail Technician | 2020-06-26 ~ 2022-05-31 |
| Houng Woo Kim | 103 Salmon Brook Dr Apt C, Glastonbury, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-06-30 |
| Hull Harbor Inc | Bridge St, Old Saybrook, CT 06475 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Nancy J Norrie-murphy | 18 Fenwood Place, Old Saybrook, CT 06475 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Fromage Fine Foods & Coffees | 873 Boston Post Rd, Old Saybrook, CT 06475 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sarah E Grandsire | 5 Ridge Drive South, Old Saybrook, CT 06475 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| James A Carr | 310 Watrous Point Rd, Old Saybrook, CT 06475 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peng Jiang | 137 Mian St, Old Saybrook, CT 06475 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Camille A Brodeur | 90 North Cove Rd, Old Saybrook, CT 06475 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emily Marie Peluso | 27 Briarwood Drive, Old Saybrook, CT 06475 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06475 | |||
| City | Old Saybrook |
| Zip Code | 06475 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Old Saybrook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Curtis H Beck | 12 Queen St, Newtown, CT 06470-2100 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Beck | 175 Post Rd W, Westport, CT 06880-4643 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nataly Sumarriva Beck | 184 Liberty St, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aimee Criscuolo Beck | 11 Colonial Dr, Clinton, CT 06413-2509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Beck | 99 Hawley Lane, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julie Beck | 73 Highland Terrace, Stratford, CT 06614 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristi F Beck Md | 120 Park Lane Suite A-101, New Milford, CT 06776 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia J Schade Md | 15 Fawn Run Rd, Salem, CT 06420 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alicia Agnoli | 48 Trumbull St, New Haven, CT 06510-1036 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Alicia A Romeo Md | 501 Billingsley Rd, Charlotte, NC 28211 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on ALICIA D BECK PA.
| 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).