TARA THOMPSON-FELIX (Credential# 2044132) is licensed (Resident Physician) 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.
TARA THOMPSON-FELIX is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065488-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 4817 Ridge Ave, Philadelphia, PA 19129-1736. The current status is active.
| Licensee Name | TARA THOMPSON-FELIX |
| Credential ID | 2044132 |
| Credential Number | 1.065488-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
4817 Ridge Ave Philadelphia PA 19129-1736 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2052670 | CSP.0074378 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-05 | 2020-06-05 - 2021-02-28 | ACTIVE |
| 2005733 | 1.066112 | Physician/Surgeon | 2020-06-04 | 2020-06-04 - 2020-10-31 | ACTIVE |
| Street Address | 4817 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19129-1736 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hitesh Kaul | 4434 Riverview Ln, Philadelphia, PA 19129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Anna M Olivier Aprn | 3417 W Penn St, Philadelphia, PA 19129 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Adam John Bockius | 358 Fairway Terrace, Philadelphia, PA 19129 | Emergency Medical Technician | ~ |
| David A Bailey Md | 4312 Dobson St, Philadelphia, PA 19129 | Physician/surgeon | 2005-03-21 ~ 2006-04-30 |
| Edward J Quirk | 3300 Henry Ave, Philadelphia, PA 19129-1121 | Physician/surgeon | 1987-10-09 ~ 1988-07-31 |
| Tasty Baking Co | 2801 Hunting Park Ave, Philadelphia, PA 19129-1306 | Bakery | 2009-07-01 ~ 2010-06-30 |
| Webb Haymaker | 3439 Barclay St, Philadelphia, PA 19129-1427 | Licensed Clinical Social Worker | 2014-02-01 ~ 2015-01-31 |
| Carly J Gibbons | 3420 W Queen Ln, Philadelphia, PA 19129-1441 | Psychologist | 2009-12-02 ~ 2010-04-30 |
| Soja Anubkumar Md | 4055 Ridge Ave Apt 5402, Philadelphia, PA 19129-1589 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eagles Autism Challenge Inc | 1 Novacare Way, Philadelphia, PA 19145-5900 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Trustees of The University of Pennsylvania | 3451 Walnut St, Philadelphia, PA 19104-6205 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Community Legal Services Inc · Cls; Community Legal Services of Philadelphia | 1424 Chestnut St, Philadelphia, PA 19102-2556 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| American Law Institute (the) · Ali; Ali Cle | 4025 Chestnut St, Philadelphia, PA 19104-3080 | Public Charity | 2019-06-21 ~ 2020-05-31 |
| The Pennsylvania Horticultural Society | 100 N 20th St Fl 5, Philadelphia, PA 19103-1455 | Public Charity | 2019-06-11 ~ 2020-05-31 |
| Catholic Foundation of Greater Philadelphia (the) | 100 N 20th St Ste 301, Philadelphia, PA 19103-1454 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Institute for Cancer Research | 3509 N Broad St Rm 936, Philadelphia, PA 19140-4105 | Public Charity | 2020-03-12 ~ 2020-05-31 |
| Childrens Hospital of Philadelphia Foundation | 3401 Civic Center Blvd., Philadelphia, PA 19104-4319 | Public Charity | 2019-07-23 ~ 2020-05-31 |
| National Museum of American Jewish History · Nmajh | 101 S Independence Mall E, Philadelphia, PA 19106-2517 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Academy of Natural Sciences of Philadelphia (the) | 1900 Benjamin Franklin Pkwy, Philadelphia, PA 19103-1101 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in PHILADELPHIA | |||
| City | PHILADELPHIA |
| Zip Code | 19129 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Felix T Nautsch | 20 York St Tmp 209, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Michael C Thompson | 100 Saint Albans Dr Apt 376, Raleigh, NC 27609-5866 | Resident Physician | 2015-06-28 ~ 2020-06-30 |
| Jennifer L Gannon | 167 Thompson Hill Road, Portland, CT 06480 | Resident Physician | 2013-07-01 ~ 2021-06-30 |
| Dana L Thompson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Tara Caradimos | 75 Church St., Thompson, CT 06277 | Medication Administration Certification | 2011-06-11 ~ 2013-06-10 |
| Tara A Thompson | 41 Timrod Trail, East Hartford, CT 06118 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Tara Thompson | 151 Sheldon Road, Manchester, CT 06042 | Medication Administration Certification | 2017-10-30 ~ 2019-10-29 |
| Tara L Montemurno | 55 Thompson Street # 7 G, East Haven, CT 06513 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
| Tara A Paine | 64 Thompson St Ste A103, East Haven, CT 06513-5701 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Tara Thompson-hobbs | 17 Avery Court, New London, CT 06320 | Family Child Care Substitute | 1999-03-03 ~ 2009-03-31 |
Please comment or provide details below to improve the information on TARA THOMPSON-FELIX.
| 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).