DIEDRE A REYNOLDS MD (Credential# 554682) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is PENDING.
DIEDRE A REYNOLDS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037092. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 8134 Cedar Rd, Elkins Park, PA 19027-2137. The current status is pending.
| Licensee Name | DIEDRE A REYNOLDS MD |
| Credential ID | 554682 |
| Credential Number | 1.037092 |
| Credential Type | Physician/Surgeon |
| Business Address |
8134 Cedar Rd Elkins Park PA 19027-2137 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 1998-07-17 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2020-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 371274 | CSP.0034964 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-05-26 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 8134 CEDAR RD |
| City | ELKINS PARK |
| State | PA |
| Zip Code | 19027-2137 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Ampong | 7433 Overhill Rd, Elkins Park, PA 19027 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
| Robert O Waterston · Craftbilt Mfg Co | 8346 Roberts Rd, Elkins Park, PA 19027 | Home Improvement Salesperson | 2006-12-01 ~ 2007-11-30 |
| Albert W Spitz | 437 N Sterling Rd, Elkins Park, PA 19027 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Joseph R Mccann | 23 Breyer Court, Elkins Park, PA 19027 | Real Estate Broker | 2009-04-01 ~ 2010-03-31 |
| Philip J Rodgers | 257 Tulpehocken Ave, Elkins Park, PA 19027 | Architect | 2012-08-01 ~ 2013-07-31 |
| Gerald F Schwam | 8116 Old York Rd, Elkins Park, PA 19027 | Architect | 2011-08-01 ~ 2012-07-31 |
| Constance A Lukens | 323 Linden Dr, Elkins Park, PA 19027 | Real Estate Broker | 2010-04-01 ~ 2011-03-31 |
| David S. Wyman Institute for Holocaust Studies | 7605 Old York Road, Melrose Park, PA 19027 | Public Charity | 2006-08-04 ~ 2007-05-31 |
| Harry Grem Bachman | 449 N Sterling Rd, Elkins Park, PA 19027 | Architect | 2005-08-01 ~ 2006-07-31 |
| Katherine Shepard | 109 Surrey Rd, Melrose Park, PA 19027 | Physical Therapist | 2005-01-03 ~ 2006-02-28 |
| Find all Licenses in zip 19027 | |||
| City | ELKINS PARK |
| Zip Code | 19027 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ELKINS PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark E Reynolds Md | 741 Broad St Ext, Waterford, CT 06385 | Physician/surgeon | 2002-02-01 ~ 2003-03-31 |
| Xinyue Liu-chen Md | 54 Reynolds St, Danielson, CT 06239 | Physician/surgeon | 2006-04-18 ~ 2007-05-31 |
| Elizabeth I Reynolds | Chs- 500 Albany Avenue, Hartford, CT 06120 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher R Reynolds | 898 Ethan Allen Hwy, Ridgefield, CT 06877 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Paul Chu | 10 Gideon Reynolds Road, Cross River, NY 10518 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Mark Reynolds Wilson Md | 10121 Town Walk Dr, Hamden, CT 06518-3719 | Physician/surgeon | 2000-03-20 ~ 2001-04-30 |
| David Andrew Reynolds | 13507 Carlton Oaks, San Antonio, TX 78232 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Keith J Reynolds · Reynolds Renovations | 531 Oldfield Rd, Fairfield, CT 06430 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Diedre L Parsley | 4527 S 450 W, Trafalgar, IN 46181 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Diedre C Birkmeyer | 44 Auburn Rd, West Hartford, CT 06119 | Registered Nurse | 2010-12-01 ~ 2011-11-30 |
Please comment or provide details below to improve the information on DIEDRE A REYNOLDS 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).