EVAN W HARRIS (Credential# 1255242) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
EVAN W HARRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053739. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 6306 Flanagan Drive, Glastonbury, CT 06033. The current status is active.
| Licensee Name | EVAN W HARRIS |
| Credential ID | 1255242 |
| Credential Number | 1.053739 |
| Credential Type | Physician/Surgeon |
| Business Address |
6306 Flanagan Drive Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-12-04 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1415970 | CSP.0065136 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-04-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 6306 Flanagan Drive |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan M Ginsberg | Po Box 530, Winhall, VT 05340-0530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan M Benjamin | Ihs Hospital, Zuni, NM 87327 | Physician/surgeon | 1994-03-31 ~ 1995-03-31 |
| Evan J Tilley Md | 52 Newton St, Fairfield, CT 06824-6926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Evan Kurz | 59 Rymph Rd, Lagrangeville, NY 12540 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Evan H Bellin Md | 47 Lispenard Ave, New Rochelle, NY 10801-4420 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan Wasserman Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Evan Fox | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Evan P Cohen | 215 E 24th St Apt 110, New York, NY 10010-3808 | Physician/surgeon | 2011-07-27 ~ 2012-07-31 |
| Evan L Stepp Md | 145 N Lake Dr, Stamford, CT 06903-1009 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Joseph M Pruner | 111 Evan Rd, Southington, CT 06489-4107 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on EVAN W HARRIS.
| 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).