RICHARD P BENTON (Credential# 542490) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
RICHARD P BENTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017693. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 290 Chesterfield Road, Oakdale, CT 06370. The current status is inactive.
| Licensee Name | RICHARD P BENTON |
| Credential ID | 542490 |
| Credential Number | 1.017693 |
| Credential Type | Physician/Surgeon |
| Business Address |
290 Chesterfield Road Oakdale CT 06370 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1976-03-10 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2017-06-30 |
| Refresh Date | 2017-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151006 | CSP.0003615 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE | |
| 310739 | CSP.0032231 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-11 - 2005-02-28 | INACTIVE | |
| 172213 | CSP.0024345 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-05-15 - 1998-02-28 | INACTIVE |
| Street Address | 290 Chesterfield Road |
| City | Oakdale |
| State | CT |
| Zip Code | 06370 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brenna Lauren Jaskiewicz | 11 Michigan Circle, Oakdale, CT 06370 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Bronwyn Janine Mallam | 5 Daisy Hill Drive, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victoria J Snarski | 1647 Rt 163, Oakdale, CT 06370 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Nicholas S Zawacki | 63 Georgia Road, Oakdale, CT 06370 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anu Mathew | 1168 Old Colchester Road, Oakdale, CT 06370 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Andrew E Macierowski | 26 Spruce Ln, Oakdale, CT 06370 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Emily E Covill | 21 Pennsylvania Ave., Oakdale, CT 06370 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Chalisa Napierski | 742 Raymond Hill Road, Oakdale, CT 06370 | Real Estate Salesperson | ~ |
| Imre David Magyar I I I | 712 Raymond Hill Road, Oakdale, CT 06370 | Casino Class I Employee | 2020-01-10 ~ 2020-03-09 |
| Dana Dort | 11 Sandpiper Lane, Oakdale, CT 06370 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06370 | |||
| City | Oakdale |
| Zip Code | 06370 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Oakdale |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James O Menzoian Md | 21 Benton Drive, Bloomfield, CT 06002 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Donna M Siciliano | 979 Benton Street, Woodmere, NY 11598 | Physician/surgeon | ~ 1996-03-31 |
| Willie Benton Boone | 561 Winding Brook Farm Rd, Watertown, CT 06795-1747 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ravikumar Chockalingam | 16762 Benton Taylor Drive, Chesterfield, MO 63005 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard Benton Friedson | 8 Balfour St, Lexington, MA 02421 | Architect | 2015-08-01 ~ 2016-07-31 |
| Richard M Zakrzewski | 116 Benton St, Manchester, CT 06040 | Home Improvement Contractor | 2007-12-31 ~ 2008-11-30 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Kristina Terry | 1458 Benton Ave, Benton, ME 04901 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Kathryn Benton · Benton Builders | 55 Bargate Tr, Killingworth, CT 06419 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
Please comment or provide details below to improve the information on RICHARD P BENTON.
| 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).