CHERYL A SMITH MD (Credential# 545653) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.
CHERYL A SMITH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025786. The credential type is physician/surgeon. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 114 Woodland Street, Hartford, CT 06105. The current status is inactive.
| Licensee Name | CHERYL A SMITH MD |
| Credential ID | 545653 |
| Credential Number | 1.025786 |
| Credential Type | Physician/Surgeon |
| Business Address |
114 Woodland Street Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-07-09 |
| Effective Date | 2017-06-01 |
| Expiration Date | 2018-05-31 |
| Refresh Date | 2018-09-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148579 | CSP.0012385 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-09 - 2017-02-28 | INACTIVE |
| Street Address | 114 WOODLAND STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Rachna Kapoor | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Karishma K Mehra | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sudeep K Thumma Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shu-ming Wang Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dan Trinh | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
| Charlene Fosteris | 114 Woodland Street, Hartford, CT 06105 | Resident Dentist | 2020-06-22 ~ 2021-06-21 |
| Chan K. Chung | 114 Woodland Street, Hartford, CT 06105 | Resident Dentist | 2020-06-22 ~ 2021-06-21 |
| Franklin I Rosenberg Md | 114 Woodland Street, Hartford, CT 06105 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl V Hawkins | Po Box 8, Sherman, CT 06784 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Cheryl A Walters | 25 Homestead Pl, Cheshire, CT 06410-2633 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cheryl Ann Gelfand Md | 267 Rowaton Ave, Norwalk, CT 06853 | Physician/surgeon | 1999-08-26 ~ 2000-05-31 |
| Cheryl L Davis Md | 201 Merion Ave, Haddonfield, NJ 08033 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Cheryl Garganta Md | 265 Judwin, New Haven, CT 06515 | Physician/surgeon | 2004-07-12 ~ 2005-08-31 |
| Cheryl A Karcher | 300 E 93rd St # 30, New York, NY 10128-6101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Cheryl E. Anderson | 46 Acorn Rd, Madison, CT 06443 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Cheryl A Newman | P.o. Box 1083, Brighton, CO 80601 | Physician/surgeon | 2006-10-11 ~ 2006-10-11 |
| Cheryl F Edmonds | 5701 Merville Ave, Baltimore, MD 21215-4124 | Physician/surgeon | 1977-06-01 ~ 1983-12-31 |
| Cheryl M Moore | 300 Sligo Road, Rollinsford, NH 03869 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
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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).