ANITA G BENEKE MD (Credential# 554928) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2001. The license expiration date date is January 31, 2003. The license status is INACTIVE.
ANITA G BENEKE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037338. The credential type is physician/surgeon. The effective date is November 20, 2001. The expiration date is January 31, 2003. The business address is 134 Stillson Road, Fairfield, CT 06432-3212. The current status is inactive.
Licensee Name | ANITA G BENEKE MD |
Credential ID | 554928 |
Credential Number | 1.037338 |
Credential Type | Physician/Surgeon |
Business Address |
134 Stillson Road Fairfield CT 06432-3212 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1998-10-23 |
Effective Date | 2001-11-20 |
Expiration Date | 2003-01-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
209455 | CSP.0027852 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
Street Address | 134 STILLSON ROAD |
City | FAIRFIELD |
State | CT |
Zip Code | 06432-3212 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jean Puglia | 29 Coburn Street, Fairfield, CT 06432 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Timothy Callahan | 66 Jackman Ave, Fairfield, CT 06432 | Registered Sanitarian | 2020-05-01 ~ 2021-04-30 |
Dave J Sorgenti | 184 Church Hill Road, Fairfield, CT 06432 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Bridgeport Awning & Windowshade Inc | 145 Tunxis Hill Rd, Fairfield, CT 06432 | Home Improvement Contractor | 2020-03-02 ~ 2020-11-30 |
Aeran Kang | 92 Bibbins Avenue, Fairfield, CT 06432 | Tattoo Technician | 2020-02-20 ~ 2022-01-31 |
Gene J Lupo | 55 Lisbon Dr., Fairfield, CT 06432 | Sub-surface Sewage Installer | 2020-02-01 ~ 2021-01-31 |
Arlene H Black · Szilagyi | 97 Tuller Road, Fairfield, CT 06432 | Radiographer | 2020-04-01 ~ 2021-03-31 |
Linda M Ludwig | 81 Valley Circle, Fairfield, CT 06432 | Psychologist | 2020-04-01 ~ 2021-03-31 |
Mark Allen · Allen Construction | 35 Alvin St, Fairfield, CT 06432 | Home Improvement Contractor | 2019-12-23 ~ 2020-11-30 |
Super Duper Weenie LLC | 306 Black Rock Tpke, Fairfield, CT 06432 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
Find all Licenses in zip 06432 |
City | FAIRFIELD |
Zip Code | 06432 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + FAIRFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anita Grover | Po Box 115, Bridgewater, CT 06752-0115 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Karne Md | 115 Linden St, New Haven, CT 06511-2424 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Nair | 12 Green St, Congers, NY 10920-2307 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita D Bhole | 1 Mancuso Drive, Ossining, NY 10562 | Physician/surgeon | 1985-01-03 ~ 1986-11-30 |
Anita L Licata | 1460 Elm Street, Stratford, CT 06497 | Physician/surgeon | 1981-01-01 ~ 1994-01-31 |
Anita M Lopker Md | 18 Burr Road, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anita R Vanderstelt | 6225 Wertz, Davisburg, MI 48350-3547 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
Anita S Arora | 62 Norton Avenue, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Anita Chu | Rensselaer Polytechnic Institute, Troy, NY 12180 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Anita Bhagavath | 15 Collingwood Dr, Huntington Station, NY 11746 | Physician/surgeon | 2018-09-19 ~ 2019-05-31 |
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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).