HEIDI WORTH (Credential# 1998567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 7, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
HEIDI WORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065169. The credential type is physician/surgeon. The effective date is April 7, 2020. The expiration date is April 30, 2021. The business address is 6 Brandywine Ln, Sandy Hook, CT 06482-1483. The current status is active.
| Licensee Name | HEIDI WORTH |
| Credential ID | 1998567 |
| Credential Number | 1.065169 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Brandywine Ln Sandy Hook CT 06482-1483 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-07 |
| Effective Date | 2020-04-07 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2034960 | CSP.0073619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-13 | 2020-04-13 - 2021-02-28 | ACTIVE |
| Street Address | 6 BRANDYWINE LN |
| City | SANDY HOOK |
| State | CT |
| Zip Code | 06482-1483 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura B Solano | 5 Brandywine Ln, Sandy Hook, CT 06482-1483 | Real Estate Salesperson | ~ |
| Jeanne M Gibbard | 11 Brandywine Ln, Sandy Hook, CT 06482-1483 | Licensed Clinical Social Worker | 1998-03-13 ~ 1999-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
| Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
| Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06482 | |||
| City | SANDY HOOK |
| Zip Code | 06482 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SANDY HOOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
| Hadi R Tajani | 800 8th Ave, Fort Worth, TX 76104 | Physician/surgeon | 1995-02-06 ~ 1996-02-29 |
| Adil M Choudhary | P.o.box 126469, Fort Worth, TX 76126-6469 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Vernon E Thomas | Po Box 6386, Lake Worth, FL 33466 | Physician/surgeon | 1995-12-26 ~ 1997-01-31 |
| William B Hayes | 4617 Briarhaven Rd, Fort Worth, TX 76109-4609 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Dustin D Nguyen | 9083 Saranac Trl, Fort Worth, TX 76118-7599 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Carl L Dobson | 4116 Shadow Drive, Forth Worth, TX 76116 8129 | Physician/surgeon | 2005-02-11 ~ 2006-02-28 |
| Adriene R. Miller | 4832 Esedra Ct Apt 106, Lake Worth, FL 33467-5137 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Natalie B Wright | 4701 W Winthrop, Fort Worth, TX 76116 | Physician/surgeon | 1995-09-08 ~ 1996-10-31 |
| Robert A Kozol Md | 7154 Via Abruzzi, Lake Worth, FL 33467-6940 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
Please comment or provide details below to improve the information on HEIDI WORTH.
| 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).