FREDERICK TAN (Credential# 542483) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 4, 2000. The license expiration date date is November 30, 2001. The license status is INACTIVE.
FREDERICK TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017668. The credential type is physician/surgeon. The effective date is October 4, 2000. The expiration date is November 30, 2001. The business address is 350 Timrod Rd, Manchester, CT 06040. The current status is inactive.
| Licensee Name | FREDERICK TAN |
| Credential ID | 542483 |
| Credential Number | 1.017668 |
| Credential Type | Physician/Surgeon |
| Business Address |
350 Timrod Rd Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-01-12 |
| Effective Date | 2000-10-04 |
| Expiration Date | 2001-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 350 TIMROD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evelyn S Tan | 350 Timrod Rd, Manchester, CT 06040 | Physician/surgeon | 2002-10-30 ~ 2003-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
| Frederick P Glike Md | 270 Dexter Ave, Meriden, CT 06450 | Physician/surgeon | 2005-01-04 ~ 2006-02-28 |
| Frederick A Kam Jr | 543 Owens Road, Auburn, AL 36830 | Physician/surgeon | 2001-02-09 ~ 2002-02-28 |
| Frederick H Lohse | 4 Ashley Ct, Danbury, CT 06810-7288 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Frederick Sachs | 60 Temple St, New Haven, CT 06510 | Physician/surgeon | 1998-12-23 ~ 2000-02-29 |
| Frederick Gutt | 68 S Service Rd Ste 350, Melville, NY 11747-2358 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Frederick J Rau | Gynecology & Obstetrics, Hartford, CT 06106 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frederick Ayers | 320 Robinson Ave & Rt. 9w, Newburgh, NJ 12550 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Frederick V O'connor | 101 Main St, Unionville, CT 06085 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jay Frederick Diamond | 545 First Ave Suite 6g, New York, NY 10016 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on FREDERICK TAN.
| 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).