REBECCA SUTPHEN (Credential# 1529634) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
REBECCA SUTPHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061777. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 877 Executive Center Dr W Ste 206, Saint Petersburg, FL 33702. The current status is active.
| Licensee Name | REBECCA SUTPHEN |
| Credential ID | 1529634 |
| Credential Number | 1.061777 |
| Credential Type | Physician/Surgeon |
| Business Address |
877 Executive Center Dr W Ste 206 Saint Petersburg FL 33702 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-14 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-24 |
| Street Address | 877 Executive Center Dr W Ste 206 |
| City | Saint Petersburg |
| State | FL |
| Zip Code | 33702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Gayle Lucy | 877 Executive Center Dr W Ste 206, Saint Petersburg, FL 33702-2472 | Genetic Counselor | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kem Engineers Inc | 7901 4th St N, Saint Petersburg, FL 33702 | Professional Engineering Corporation | 2020-08-15 ~ 2021-08-14 |
| Ruth R Spitzer | 8379 17th Way North, St Petersburg, FL 33702 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Pamela C Heath | 846 Glades Court Ne, Saint Petersburg, FL 33702 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Scott Adam Ruehmer | 6275 Cape Hatteras Way Ne, St Petersburg, FL 33702 | Registered Nurse | 2017-04-01 ~ 2018-03-31 |
| Jeffrey T Membel II | 7901 4th Street N, Saint Petersburg, FL 33702 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Michael L Martin | 6655 26th Way N, St Petersburg, FL 33702 | Engineer-in-training | 1995-07-10 ~ 1905-07-10 |
| Tracy L Ritacco | 1026 Gandy Boulevard North, #1207, St. Petersburg, FL 33702 | Dental Hygienist | ~ |
| Lisa M Beaird | 690 99th Ave N, St. Petersburg, FL 33702 | Licensed Practical Nurse | 2009-12-01 ~ 2010-11-30 |
| Rosemary Fairchild | 6465 Livingston Avenue N, St Petersburg, FL 33702 | Hairdresser/cosmetician | 2008-07-14 ~ 2010-08-31 |
| Donna M Chamberland | 322 Mt Richmond Ave Ne, St. Petersburg, FL 33702 | Licensed Practical Nurse | 2008-11-12 ~ 2009-09-30 |
| Find all Licenses in zip 33702 | |||
| City | Saint Petersburg |
| Zip Code | 33702 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Saint Petersburg |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John H Sutphen Md | 120 Cedar Rd, Mystic, CT 06355 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
| Sutphen Corporation | 6450 Eiterman Rd, Dublin, OH 43016 | Motor Vehicle Manufacturer (llm) | ~ |
| Rebecca L. Manning | Po Box 365, Youngsville, NC 27596 | Physician/surgeon | 2009-07-16 ~ 2009-09-30 |
| Rebecca L Johnson | P.o. Box 524, Richmond, MA 01254 | Physician/surgeon | 1995-07-27 ~ 1996-08-31 |
| Rebecca L Warkol Md | 8 West End Ave, Old Greenwich, CT 06870 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rebecca Sahlman | 230 Stratford Ave, Westmont, NJ 08108 | Physician/surgeon | 2019-09-30 ~ 2020-05-31 |
| Rebecca J Ondrus | 125 Providence St, West Warwick, RI 02893-2500 | Physician/surgeon | ~ |
| Rebecca M. Wahl | 85 Island Ave, Madison, CT 06443-3030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Rebecca Z Solomon Md | 9 Highview Ave, Norwalk, CT 06851 | Physician/surgeon | 1996-10-22 ~ 1997-12-31 |
| Jennifer Rebecca Hill | 51-53 Kenosia Ave, Danbury, CT 06810 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on REBECCA SUTPHEN.
| 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).