DIANE LOUISE DIETZEN (Credential# 2008221) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
DIANE LOUISE DIETZEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 39 San Souci Dr, South Hadley, MA 01075. The current status is pending.
Licensee Name | DIANE LOUISE DIETZEN |
Credential ID | 2008221 |
Credential Number | 1 |
Credential Type | Physician/Surgeon |
Business Address |
39 San Souci Dr South Hadley MA 01075 |
Business Type | INDIVIDUAL |
Status | PENDING - PENDING |
Refresh Date | 2020-02-18 |
Street Address | 39 san souci dr |
City | south hadley |
State | MA |
Zip Code | 01075 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 01075 |
City | south hadley |
Zip Code | 01075 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + south hadley |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benita Louise Gross | Po Box 196, Bronx, NY 10464-0196 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Marie-louise Caloustian | 61-25 Bell Blvd, Bayside, NY 11364 | Physician/surgeon | ~ |
Rebecca Louise Kent | 15 Maple St, Irvington, NY 10533-2109 | Physician/surgeon | 2020-06-23 ~ 2020-10-31 |
Louise E Cohen | 103 Round Hill Rd, Armonk, NY 10504 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Louise J Short | 2520 Oak Crossing, Decatur, GA 30033 | Physician/surgeon | 1992-10-23 ~ 1993-06-30 |
Louise G Caudullo Do | 11 Shoddy Mill Rd, Bolton, CT 06043 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Louise D Mccullough | 5014 Cambridge St, Sugar Land, TX 77479-3969 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
Adrienne Louise Hicks | 10 East 138th Street, New York, NY 10037 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
Louise A. Isenberg-dallaire | 4424 Moosewood Dr, Virginia Beach, VA 23462-5721 | Physician/surgeon | 1979-04-09 ~ 1989-11-30 |
Karen Louise Medin | 91 Steep Hollow Drive, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).