DAVID C HADERLIE (Credential# 1659055) is licensed (Resident Dentist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
DAVID C HADERLIE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012503-RES. The credential type is resident dentist. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 41 Ichabod Rd, Simsbury, CT 06070. The current status is active.
Licensee Name | DAVID C HADERLIE |
Credential ID | 1659055 |
Credential Number | 2.012503-RES |
Credential Type | Resident Dentist |
Credential SubCategory | RES |
Business Address |
41 Ichabod Rd Simsbury CT 06070 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-07-01 |
Effective Date | 2019-07-01 |
Expiration Date | 2022-06-30 |
Refresh Date | 2019-05-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1672138 | CSP.0071732 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-27 | 2019-06-27 - 2021-02-28 | ACTIVE |
Street Address | 41 Ichabod Rd |
City | Simsbury |
State | CT |
Zip Code | 06070 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Haderlie | 41 Ichabod Rd, Simsbury, CT 06070 | Dentist | 2020-05-12 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry Withers | 571 Hopmeadow St, Simsbury, CT 06070 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Nancy W Flanagan | 9 Carver Circle, Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Catharina A Bates | 12 East View Dr., Simsbury, CT 06070 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Faith E Preato | 25 Squadron Line Rd, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Diane Bragoni | 542 Hopmeadow Street, #128, Simsbury, CT 06070 | Architect | 2020-08-01 ~ 2021-07-31 |
Virginia S Durst · Banks | 20 Woodcliff Drive, Simsbury, CT 06070 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Caitlin M Cornier | 18 Saxton Brook Drive, Simsbury, CT 06070 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nancy L Alleva · Maule | 1079 Hopmeadow St, Simsbury, CT 06070 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Stephen R Birghenti · Simsbury Inn | 397 Hopmeadow St, Simsbury, CT 06070 | Hotel Liquor (50000 Or More Population) | 2019-08-14 ~ 2020-12-13 |
Deborah L Poniatowski · Blase | 35 Munnisunk Dr, Simsbury, CT 06070 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06070 |
City | Simsbury |
Zip Code | 06070 |
License Type | Resident Dentist |
License Type + County | Resident Dentist + Simsbury |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Haderlie | 41 Ichabod Rd, Simsbury, CT 06070 | Dentist | 2020-05-12 ~ 2021-01-31 |
David M. Cardaropoli Jr. | 114 Woodland Street, Hartford, CT 06105 | Resident Dentist | 2018-06-25 ~ 2019-06-24 |
David R Post | 11 David St, Dover, NJ 07801 | Dentist | 1992-02-24 ~ 1993-02-28 |
Tae W Kwon | Hartford, CT 06103 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
Joseph J Lee | New Britain, CT 06053 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
Kayla A Harris | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
Anjali Nanda | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2019-06-30 |
Judy L Yip | 20 York St, New Haven, CT 06510-3220 | Resident Dentist | 2017-06-27 ~ 2019-06-30 |
May L Siu | 20 York Street, New Haven, CT 06510 | Resident Dentist | 2020-06-22 ~ 2021-06-30 |
Andrea G Bermudez | Farmington, CT 06032 | Resident Dentist | 2016-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on DAVID C HADERLIE.
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).