RICHARD G BEVILACQUA (Credential# 551244) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
RICHARD G BEVILACQUA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033645. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 71 Naubuc Ave, Glastonbury, CT 06033-2006. The current status is active.
| Licensee Name | RICHARD G BEVILACQUA |
| Credential ID | 551244 |
| Credential Number | 1.033645 |
| Credential Type | Physician/Surgeon |
| Business Address |
71 Naubuc Ave Glastonbury CT 06033-2006 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-04-15 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 741710 | 22.008408 | Dental Anesthesia/Conscious Sedation Permit | 2000-04-13 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 263773 | CSP.0030669 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 163806 | CSP.0022132 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 702474 | 2.008006 | Dentist | 1994-04-15 | 2019-09-01 - 2020-08-31 | ACTIVE IN RENEWAL |
| Street Address | 71 NAUBUC AVE |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2006 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura C Piaseczny | 71 Naubuc Ave, Glastonbury, CT 06033 | Notary Public Appointment | 1981-08-01 ~ 1986-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula M Bevilacqua | 27 7th Ave, Branford, CT 06405-5445 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Christina Fazio-bevilacqua · Bevilacqua | 237 County Road, Madison, CT 06443 | Hairdresser/cosmetician | 1999-04-23 ~ 2000-06-30 |
| Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard S Underkofler | CT | Physician/surgeon | 1983-07-01 ~ 1987-11-30 |
| Richard Elizee | 95 Worth St, New York, NY 10013 | Physician/surgeon | ~ |
| Richard S Childs Jr | Box 660, Norfolk, CT 06058 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard W Whitfield | Amc/westpost | Physician/surgeon | 1999-10-12 ~ 2000-11-30 |
| Richard Lee | 163 Third Avenue, New York, NY 10003 | Physician/surgeon | 1997-05-08 ~ 1998-05-31 |
| Richard M Pianti | 698 Ne 1st Ave, Miami, FL 33132 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard B Knapp | Po Box 13588, R T P, NC 27709 | Physician/surgeon | 1993-12-10 ~ 1994-10-31 |
Please comment or provide details below to improve the information on RICHARD G BEVILACQUA.
| 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).