JOSEPH A HAVLICEK (Credential# 540082) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JOSEPH A HAVLICEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011673. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 3 Pheasant Dr, Middletown, CT 06457-5173. The current status is active.
| Licensee Name | JOSEPH A HAVLICEK |
| Credential ID | 540082 |
| Credential Number | 1.011673 |
| Credential Type | Physician/Surgeon |
| Business Address |
3 Pheasant Dr Middletown CT 06457-5173 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1964-04-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157026 | CSP.0014801 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2007-02-05 - 2008-02-28 | INACTIVE |
| Street Address | 3 PHEASANT DR |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5173 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Kaitlyn Fitzner | 83 Pheasant Dr, Middletown, CT 06457-5173 | Professional Counselor | 2020-01-21 ~ 2020-08-31 |
| Josephine Didato | 43 Pheasant Dr, Middletown, CT 06457-5173 | Family Child Care Home | 2017-05-01 ~ 2021-04-30 |
| Paul S Didato | 43 Pheasant Dr, Middletown, CT 06457-5173 | Heating, Piping & Cooling Limited Contractor | 2013-03-04 ~ 2013-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Havlicek | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-04-10 ~ 2010-04-09 |
| Fred E Havlicek | 755 Foster Ct, Cheshire, CT 06410 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Kyra N Havlicek | 6 Captains Ln, Old Saybrook, CT 06475-4411 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Joseph T Culverwell | 629 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1999-07-12 ~ 2000-07-31 |
| Joseph M Ossorio | Po Box 562966, Miami, FL 33256-2966 | Physician/surgeon | ~ |
| Joseph Rosenblatt | 33 Two Rod Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
Please comment or provide details below to improve the information on JOSEPH A HAVLICEK.
| 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).