DYLAN PAUL DEATRICH (Credential# 1429349) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
DYLAN PAUL DEATRICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057079. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 105 Glenfield Dr., Beaver, PA 15009. The current status is active.
| Licensee Name | DYLAN PAUL DEATRICH |
| Credential ID | 1429349 |
| Credential Number | 1.057079 |
| Credential Type | Physician/Surgeon |
| Business Address |
105 Glenfield Dr. Beaver PA 15009 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-27 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-09 |
| Street Address | 105 Glenfield Dr. |
| City | Beaver |
| State | PA |
| Zip Code | 15009 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurence G Holt · Michael Baker Jr Inc | 105 Market St, Beaver, PA 15009 | Professional Engineer | 1991-01-15 ~ 1992-01-31 |
| Paul W Scanlon · Brt Hl Rttlmnn Assocs | Baker & Assoc, Beaver, PA 15009 | Professional Engineer | 1990-12-27 ~ 1992-01-31 |
| Charles I Homan | 130 Glenfield Drive, Beaver, PA 15009 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Karen E Keck | 1105 Seventh Street, Beaver, PA 15009 | Registered Nurse | 2011-09-01 ~ 2012-08-31 |
| Michell T Theobald | 1869 C Barclay Hill Road, Beaver, PA 15009 | Registered Nurse | 2011-02-01 ~ 2012-01-31 |
| Barbara A Strobel | 99 Bridge St., #10, Beaver, PA 15009 | Registered Nurse | 2008-12-17 ~ 2009-12-31 |
| Ursula S Erb | 1598 Second Street, Beaver, PA 15009 | Registered Nurse | 2006-02-06 ~ 2007-02-28 |
| Kenneth Edward Shovlin | 499 College Ave, Ebaver, PA 15009-2239 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Wipplinger | Po Box 21, Beaver, AR 72613 | Professional Engineer | 2013-02-01 ~ 2014-01-31 |
| City | Beaver |
| Zip Code | 15009 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Beaver |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ted D Cox | 166 4th St E, Saint Paul, MN 55101-1421 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Paul R Feldman | CT | Physician/surgeon | 1978-05-03 ~ 1984-12-31 |
| L Paul Brief | 175 Route 304, Bardonia, NY 10954 | Physician/surgeon | 1996-05-13 ~ 1997-07-31 |
| Paul L Dalbec Md | Po Box 797, Brooklyn, CT 06234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
| Paul R Danker | Po Box 506, Slingerlands, NY 12159 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Hongwei Ma | 114 St Paul St #5, Brookline, MA 02146 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
| Paul C Sullivan | 8 Ash St, Nantucket, MA 02554-3517 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Paul B Thompson Do | 260 Fifth Ave Apt #10-n, New York, NY 10001 | Physician/surgeon | 2006-03-20 ~ 2007-03-31 |
| Paul N Graffagnino | P.o. Box 443, Woodstock, VT 05091-4443 | Physician/surgeon | 1996-02-23 ~ 1997-04-30 |
Please comment or provide details below to improve the information on DYLAN PAUL DEATRICH.
| 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).