THOMAS LICCIARDELLO (Credential# 538677) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
THOMAS LICCIARDELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006444. The credential type is physician/surgeon. The effective date is April 1, 2011. The expiration date is March 31, 2012. The business address is 66 Sherman St, Cambridge, MA 02140. The current status is inactive.
Licensee Name | THOMAS LICCIARDELLO |
Credential ID | 538677 |
Credential Number | 1.006444 |
Credential Type | Physician/Surgeon |
Business Address |
66 Sherman St Cambridge MA 02140 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1950-07-17 |
Effective Date | 2011-04-01 |
Expiration Date | 2012-03-31 |
Refresh Date | 2012-07-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
148167 | CSP.0001525 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 66 Sherman St |
City | Cambridge |
State | MA |
Zip Code | 02140 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey D Peterson | 28 Prentiss St, Cambridge, MA 02140 | Architect | 2020-08-01 ~ 2021-07-31 |
William O Radford | 24 Cambridge Ter, Cambridge, MA 02140 | Architect | 2020-08-01 ~ 2021-07-31 |
Joshua D Kulak | 183 Rindge Ave, Unit 3, Cambridge, MA 02140 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Alexander Hallac | 160 Cambridge Pk Dr, Cambridge, MA 02140 | Physician/surgeon | 2020-02-26 ~ 2020-12-31 |
Keeeb, Inc. | 125 Cambridgepark Dr., Cambridge, MA 02140 | Securities - Exemptions | 2020-02-19 ~ |
John R Born | 3 Walnut Ave, Cambridge, MA 02140 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Lisa G Boettger | 245 Walden St, Cambridge, MA 02140 | Architect | 2019-08-01 ~ 2020-07-31 |
Deneen Crosby | 19 Sargent St, Cambridge, MA 02140 | Landscape Architect | 2017-08-01 ~ 2018-07-31 |
Catherine R Waltman | 69 Harvey St Apt #11, Cambridge, MA 02140 | Professional Engineer | 2017-06-13 ~ 2018-01-31 |
Slater W Anderson | 12 Hollis St, Cambridge, MA 02140 | Certified General Real Estate Appraiser | 2016-05-01 ~ 2017-04-30 |
Find all Licenses in zip 02140 |
City | Cambridge |
Zip Code | 02140 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Cambridge |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jere T Licciardello | 400 Berywood Tr., Cleveland, TN 37312 | Physician/surgeon | 2005-09-30 ~ 2006-10-31 |
Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Janet Licciardello | 1915 Wynwqood Dr Nw, Cleveland, TN 37311 | Pharmacist | 2004-02-01 ~ 2005-01-31 |
T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
Thomas A Nowicki | Tolland, CT 06084 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Thomas Koobatian Md | 21 Elm St, New Milford, CT 06776-2915 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas P. Sculco | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
Thomas A. Fay | 104 River Rd, Essex, CT 06426 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Thomas R Naparst Md | 753 E 5th St Apt 1b, New York, NY 10009-7053 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Thomas Xu | 396 Danbury Rd, Wilton, CT 06897 | 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).