RICHARD J HICKS (Credential# 553313) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2015. The license expiration date date is March 31, 2016. The license status is INACTIVE.
RICHARD J HICKS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035720. The credential type is physician/surgeon. The effective date is April 1, 2015. The expiration date is March 31, 2016. The business address is 122 Quinnehtuk Road, Longmeadow, MA 01106. The current status is inactive.
Licensee Name | RICHARD J HICKS |
Credential ID | 553313 |
Credential Number | 1.035720 |
Credential Type | Physician/Surgeon |
Business Address |
122 Quinnehtuk Road Longmeadow MA 01106 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-11-29 |
Effective Date | 2015-04-01 |
Expiration Date | 2016-03-31 |
Refresh Date | 2016-07-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
49353 | CSP.0025080 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
Street Address | 122 QUINNEHTUK ROAD |
City | LONGMEADOW |
State | MA |
Zip Code | 01106 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01106 |
City | LONGMEADOW |
Zip Code | 01106 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LONGMEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Todd Arthur Anderson | 145 Hicks St Apt A57, Brooklyn, NY 11201-2330 | Physician/surgeon | ~ |
Robert G Hicks | 3 Putnam Hill, Greenwich, CT 06830 | Physician/surgeon | 1993-03-24 ~ 1994-04-30 |
Cheryl S. Hicks | 913 Lotus Vista Dr Apt 201, Altamonte Springs, FL 32714-4822 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
Michael R Hicks | 13601 Preston Rd Ste 1000w, Dallas, TX 75240-4911 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Maurice Tulin | 39 Hicks Lane, Great Neck, NY 11024 | Physician/surgeon | 2000-01-27 ~ 2001-02-28 |
Ninad Desai | 31 Hicks Lane, Great Neck, NY 11024 | Physician/surgeon | 2005-05-23 ~ 2006-05-31 |
Adrienne Louise Hicks | 10 East 138th Street, New York, NY 10037 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
R Sparrow Hicks Inc · Russell S Hicks | 45 Route 171, S Woodstock, CT 06267 | Real Estate Broker | 2005-04-01 ~ 2006-03-31 |
James D Hicks · J D Hicks Home Improvement | 62 Spruce St, Seymour, CT 06483 | Real Estate Salesperson | 2006-12-12 ~ 2007-05-31 |
Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).