NATALIE R SIMMONS (Credential# 1052064) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
NATALIE R SIMMONS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050672. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 145 Daydream Ave # 4108, Wildlight, FL 32097-5438. The current status is active.
| Licensee Name | NATALIE R SIMMONS |
| Credential ID | 1052064 |
| Credential Number | 1.050672 |
| Credential Type | Physician/Surgeon |
| Business Address |
145 Daydream Ave # 4108 Wildlight FL 32097-5438 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-03-05 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-11-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 895468 | CSP.0046620 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 145 DAYDREAM AVE # 4108 |
| City | WILDLIGHT |
| State | FL |
| Zip Code | 32097-5438 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caron Whitelaw | 85811 Black Tern Drive, Yulee, FL 32097 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Jaclyn A Wenzell | 86048 Tropicanna Court, Yulee, FL 32097 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| William S Soper | 1480 Avant Rd, Yulee, FL 32097 | Professional Engineer | 1995-01-13 ~ 1996-01-31 |
| Aracelys Dupee | 96008 Hawthorne Court, Yulee, FL 32097 | Dental Hygienist | 2014-02-01 ~ 2015-01-31 |
| Dawn L Temoschuk | 1704 Callaway Drive, Yulee, FL 32097 | Registered Nurse | 2002-07-31 ~ 2003-09-30 |
| Linda J Stefan | 65133 Lagoon Forest Dr, Yulee, FL 32097-0633 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Latoya R Huguley | 78284 Duckwood Trl, Yulee, FL 32097-0650 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| American Association of Zoo Veterinarians | 581705 White Oak Rd, Yulee, FL 32097-2169 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Andrea B Gautreau | 86105 Courtney Isles Way Apt 4306, Yulee, FL 32097-3543 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Jessica Dell Tipton | 86215 Caesars Ave, Yulee, FL 32097-3948 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Find all Licenses in zip 32097 | |||
| City | WILDLIGHT |
| Zip Code | 32097 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILDLIGHT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Sarah Vanarsdale Simmons | 701 5th Ave Ste 2300, Seattle, WA 98104 | Physician/surgeon | 2020-02-03 ~ 2021-02-28 |
| Adam D Simmons Md | 31 Avondale Rd, West Hartford, CT 06117 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Natalie Marte | 710 W 173rd St Apt 27, New York, NY 10032-1104 | Physician/surgeon | ~ |
| Duncan R Simmons Md | 3967 Straton Hall Way, Marietta, GA 30066 | Physician/surgeon | 2005-02-07 ~ 2005-12-31 |
| Natalie Albala Md | 40 Hart St, New Britain, CT 06052 | Physician/surgeon | 2006-06-29 ~ 2007-03-31 |
| Natalie De Leuchtenberg Md | Chcp, New Haven, CT 06511 | Physician/surgeon | 1999-01-06 ~ 2000-02-29 |
| Natalie M Madison | Po Box 60233, Potomac, MD 20859-0233 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Natalie S Crump | 909 Falls View Rd, Manchester, CT 06042 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Natalie S Komaiszko Md | 46 Northfield Road, Longmeadow, MA 01106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).