CHARLES DEPRIEST MD (Credential# 551971) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 18, 1999. The license expiration date date is April 30, 2000. The license status is INACTIVE.
CHARLES DEPRIEST MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034373. The credential type is physician/surgeon. The effective date is June 18, 1999. The expiration date is April 30, 2000. The business address is 1509 Woodward Court, Brentwood, TN 37027. The current status is inactive.
Licensee Name | CHARLES DEPRIEST MD |
Credential ID | 551971 |
Credential Number | 1.034373 |
Credential Type | Physician/Surgeon |
Business Address |
1509 Woodward Court Brentwood TN 37027 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-04-07 |
Effective Date | 1999-06-18 |
Expiration Date | 2000-04-30 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163871 | CSP.0023056 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
Street Address | 1509 WOODWARD COURT |
City | BRENTWOOD |
State | TN |
Zip Code | 37027 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Palina Beck | 1316 Sweetwater Drive, Brentwood, TN 37027 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Francine E Schwartz | 9400 Greyjoy Drive, Brentwood, TN 37027 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Adam Paul Juersivich | 3 Maryland Farms, Brentwood, TN 37027 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Global Sanctuary for Elephants | 9010 Hood Place, Brentwood, TN 37027 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Fintop Fund II Qp, Lp | 7101 Executive Enter Dr, Ste 197, Brentwood, TN 37027 | Securities - Exemptions | 2020-03-18 ~ |
Jason A. Soriano | Specialtycare, Inc., Brentwood, TN 37027 | Physician/surgeon | 2020-03-11 ~ 2020-09-30 |
Sherri Tolley Hood | 1622 Moores Ct., Brentwood, TN 37027 | Registered Nurse | ~ |
Richard S Frank | 105 Westwood Place, Brentwood, TN 37027 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Curtis Paul Ingram | 212 Overlook Cir, Ste 105, Brentwood, TN 37027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Surendra Ramanna | 217 Ward Circle, Brentwood, TN 37027 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 37027 |
City | BRENTWOOD |
Zip Code | 37027 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRENTWOOD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Christopher El Khuri | 218 N Charles St, Baltimore, MD 21201-4021 | Physician/surgeon | ~ |
Charles W Boren | Rt 2 Box 106, Pecos, NM 87552 | Physician/surgeon | 1993-05-25 ~ 1994-06-30 |
Charles A Mauriello | P.o Box 570, Villanova, PA 19085 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
Charles F Stroebel IIi | Po Box 279, Andover, CT 06232-0279 | Physician/surgeon | 1998-03-16 ~ 1999-05-31 |
Charles M Dickson | 95 Day St, Granby, CT 06035 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
Charles L Larkin Jr | Box 177, Middlebury, CT 06762 | Physician/surgeon | 2006-05-04 ~ 2007-05-31 |
Charles Flack | Ohs 3rd Fl, San Bernadino, CA 92415 | Physician/surgeon | 1993-09-23 ~ 1994-07-31 |
Charles C Hoo | Nightshift Radiology, Los Gatos, CA 95032 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
Charles L Wreschner | 21 Wainwright Dr, Woodstock, CT 06281-3030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Charles E Glass Md | 96 Broad St # A, Guilford, CT 06437-2635 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on CHARLES DEPRIEST MD.
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).