DEREK H SUITE (Credential# 1260449) 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.
DEREK H SUITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055173. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 18 Southfield Rd, Mount Vernon, NY 10552-1322. The current status is active.
| Licensee Name | DEREK H SUITE |
| Credential ID | 1260449 |
| Credential Number | 1.055173 |
| Credential Type | Physician/Surgeon |
| Business Address |
18 Southfield Rd Mount Vernon NY 10552-1322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-14 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-23 |
| Street Address | 18 SOUTHFIELD RD |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10552-1322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claudia M Spencer | 180 Pearsall Dr#1e, Mt Vernon, NY 10552 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Celeste M Bruno | 108 E. Birch St, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Brenda L Thomas | 9 Chesterwood Avenue, Mt. Vernon, NY 10552 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Valeta V Bryant | 27 Vernon Place, Mt. Vernon, NY 10552 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Nadia Antoine-williams | 395 Gramatan Ave, Mt Vernon, NY 10552 | Registered Nurse - Temporary | 2020-04-14 ~ 2020-08-12 |
| Millicent R Thomas | 205 Bradley Avenue, Mount Vernon, NY 10552 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Alyssa Marie Sequinot | 531 E. Lincoln Ave Apt #1l, Mount Vernon, NY 10552 | Registered Nurse - Temporary | 2020-03-10 ~ 2020-07-08 |
| Tenille T Cameron | 211 Westchester Ave, Mount Vernon, NY 10552 | Licensed Practical Nurse | ~ |
| Eldorine F Manning | 58 Parkway South, Mt Vernon, NY 10552 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Idesta Adams | 80 William Street, Mount Vernon, NY 10552 | Notary Public Appointment | 2019-12-12 ~ 2024-12-31 |
| Find all Licenses in zip 10552 | |||
| City | MOUNT VERNON |
| Zip Code | 10552 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MOUNT VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek H Cheng | 29 Hospital Plaza, Suite 602, Stamford, CT 06902 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Derek T. Noel | 53 Brookstone Dr, Sterling, CT 06377-1420 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Derek S Bohn | 163 South St #95, Danbury, CT 06810 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
| Ding-joe Tsai | 10 Derek Ln, Windsor, CT 06095 | Physician/surgeon | 2003-07-18 ~ 2004-09-30 |
| Derek Soohoo | 145 Huguenot St Ste 610, New Rochelle, NY 10801-5240 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Omprakash B Pillai Md | 17 Derek Lane, Windsor, CT 06095 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Derek Sai-wah Lee | 22 Lessing Road, West Orange, NJ 07052 | Physician/surgeon | ~ 1999-06-30 |
| Derek Carlson Md | 1031 Hilltop Rd, Erie, PA 16509-2131 | Physician/surgeon | 2001-12-19 ~ 2003-02-28 |
| Derek Michael Richardson | 7811 Still Crossing Rd, Chapel Hill, NC 27516-4852 | Physician/surgeon | ~ |
| Roy S Lackey | Suite 421, New York, NY 10032 | Physician/surgeon | 2006-03-30 ~ 2007-05-31 |
Please comment or provide details below to improve the information on DEREK H SUITE.
| 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).