MIECRYLOW DEREN (Credential# 541387) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2018. The license expiration date date is August 31, 2019. The license status is INACTIVE.
MIECRYLOW DEREN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015198. The credential type is physician/surgeon. The effective date is September 1, 2018. The expiration date is August 31, 2019. The business address is 125 Shaw St Ste 1, New London, CT 06320-4910. The current status is inactive.
Licensee Name | MIECRYLOW DEREN |
Credential ID | 541387 |
Credential Number | 1.015198 |
Credential Type | Physician/Surgeon |
Business Address |
125 Shaw St Ste 1 New London CT 06320-4910 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1971-09-08 |
Effective Date | 2018-09-01 |
Expiration Date | 2019-08-31 |
Refresh Date | 2019-12-04 |
Street Address | 125 SHAW ST STE 1 |
City | NEW LONDON |
State | CT |
Zip Code | 06320-4910 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06320 |
City | NEW LONDON |
Zip Code | 06320 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW LONDON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John J Deren · John Deren Building & Remodeling | 2451 Mill Plain Road, Fairfield, CT 06824 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
Karen S Deren | 9 Halsey St, Seymour, CT 06483 | Registered Nurse | 2006-12-19 ~ 2009-12-31 |
Anne M Deren | 106 Niles Hill Rd, New London, CT 06320 | Registered Nurse | 2016-03-01 ~ 2017-02-28 |
Deren Dagon | 1011 Warrenville Rd, Mansfield, CT 06250 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
Chester J Deren | 191 Congdon St, Middletown, CT 06457 | Electrical Unlimited Contractor | ~ |
Alysha N Deren | 213 Burgundy Hill Lane, Middletown, CT 06457 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Bruce Deren | 10112 Ashwood St Apt A-2, Lakeside, CA 92040 | Plumbing & Piping Unlimited Journeyperson | ~ |
Michael M Deren | 106 Niles Hill Rd, New London, CT 06320-3016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Judith A Deren | 109 Red Robin Road, Naugatuck, CT 06770 | Notary Public Appointment | 2016-12-01 ~ 2021-11-30 |
Lynn Taylor-deren | 950 Slater Road, New Britain, CT 06053 | Medication Administration Certification | 2016-01-15 ~ 2018-01-14 |
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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).