CRISTINA TELLECHEA (Credential# 1072769) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CRISTINA TELLECHEA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051033. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 52 Laurel Grove Dr, Higganum, CT 06441-4355. The current status is active.
| Licensee Name | CRISTINA TELLECHEA |
| Credential ID | 1072769 |
| Credential Number | 1.051033 |
| Credential Type | Physician/Surgeon |
| Business Address |
52 Laurel Grove Dr Higganum CT 06441-4355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-06-13 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 510052 | CSP.0044140 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-25 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 844104 | 70.004371 | Emergency Medical Technician | 2003-12-22 | 2003-12-22 - 2005-03-31 | INACTIVE |
| Street Address | 52 LAUREL GROVE DR |
| City | HIGGANUM |
| State | CT |
| Zip Code | 06441-4355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Flanagan-dupuis | 57 Laurel Grove Dr, Higganum, CT 06441-4355 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jennifer E Cote | 79 Laurel Grove Dr, Higganum, CT 06441-4355 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Jeffrey A Boynton | 90 Laurel Grove Dr, Higganum, CT 06441-4355 | Wholesaler Salesman | 2017-07-03 ~ 2019-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
| Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06441 | |||
| City | HIGGANUM |
| Zip Code | 06441 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HIGGANUM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Tellechea-mendoza Md | Po Box 350, Higganum, CT 06441-0350 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cristina Hung | 51 Pheasant Ln, Ridgefield, CT 06877 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cristina Blejan | 93 West St Ste 3, Danbury, CT 06810-6525 | Physician/surgeon | 2014-07-01 ~ 2015-06-30 |
| Cristina Tamasdan Md | 73 Pond Rd, Easton, CT 06612-2238 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Cristina M Brunet Md | 300 Cedar St # S541, New Haven, CT 06519-1612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cristina Roxana Ionescu | 43 Stratford Rd, New Rochelle, NY 10804-2532 | Physician/surgeon | 2020-06-15 ~ 2021-06-30 |
| Valeria Cristina Pazo | 28 Edgerton St, Darien, CT 06820-4104 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cristina M Cefaloni | 15 Highland Street, West Hartford, CT 06119 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Cristina M Shimek | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Cristina A Carter | 1334 13th Street Nw, Apartment A, Washington, DC 20005 | Physician/surgeon | 2015-06-02 ~ 2016-05-31 |
Please comment or provide details below to improve the information on CRISTINA TELLECHEA.
| 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).