ROBERT N HYDE III (Credential# 544798) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ROBERT N HYDE III is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023888. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 111 New Haven Avenue, Derby, CT 06418. The current status is active.
| Licensee Name | ROBERT N HYDE III |
| Credential ID | 544798 |
| Credential Number | 1.023888 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 New Haven Avenue Derby CT 06418 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 1982-08-25 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 144017 | CSP.0011148 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-04-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 New Haven Avenue |
| City | Derby |
| State | CT |
| Zip Code | 06418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Birmingham Group Health Services Inc. · Birmingham Group Health Services Extension Clinic | 111 New Haven Avenue, Derby, CT 06418 | Substance Abuse | 2009-04-01 ~ 2011-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra A Montini | 8 Academy Hill Ext, Derby, CT 06418 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Laura M Boanno | 131 Marshall La, Derby, CT 06418 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Danyun Chen | 49 Pershing Dr., Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Fan Geng | Shoprite Shopping Center, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Danni Xu | Shoprite Shopping Center49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Yao Zhang | Shoprite Shopping Center 49 Pershing Dr, Derby, CT 06418 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Phillip N Burke | 3 Camptown St, Derby, CT 06418 | Emergency Medical Technician | 2017-06-07 ~ 2020-06-30 |
| Diane A Rosner | 229 Shagbark Drive, Derby, CT 06418 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Pamela C Lavelle | 194 Minerva St, Derby, CT 06418 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Grade A Market - Derby LLC | 49 Pershing Dr, Derby, CT 06418 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06418 | |||
| City | Derby |
| Zip Code | 06418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Derby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert K Match | L I Jewish Hosp, New Hyde Park, NY 11042 | Physician/surgeon | 1993-04-23 ~ 1994-05-31 |
| Thomas J Palmieri | 1901 New Hyde Pk Rd, New Hyde Pk, NY 11040 | Physician/surgeon | 2003-05-02 ~ 2004-05-31 |
| Ann P Reichheld | 52 Old Hyde Rd, Weston, CT 06883 | Physician/surgeon | 1993-12-21 ~ 1995-02-28 |
| Linda Nagy Md | Po Box 285, Hyde Park, VT 05655 | Physician/surgeon | 2001-08-16 ~ 2002-09-30 |
| Narendra Yallanki | 965 N 7th St, New Hyde Park, NY 11040-3032 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
| Yue Yu | 23 Yale Blvd, New Hyde Park, NY 11040-3835 | Physician/surgeon | 2015-09-29 ~ 2016-01-31 |
| Frederick C Lane | 143 Old Hyde Rd Ext, Weston, CT 06883 | Physician/surgeon | 1993-12-20 ~ 1994-09-30 |
| Andrew Abovian | 223 Hyde St, New Haven, CT 06512-3158 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Sun F Pei | 1 Fairfield Lane, New Hyde Park, NY 11040 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Douglas K Hyde | 86 Blueberry Hl Rd, Longmeadow, MA 01106 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
Please comment or provide details below to improve the information on ROBERT N HYDE III.
| 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).