THENA G POTEAT MD (Credential# 558224) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 9, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
THENA G POTEAT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040641. The credential type is physician/surgeon. The effective date is January 9, 2004. The expiration date is February 28, 2005. The business address is 2025 Whitney Ave, North Haven, CT 06473. The current status is inactive.
| Licensee Name | THENA G POTEAT MD |
| Credential ID | 558224 |
| Credential Number | 1.040641 |
| Credential Type | Physician/Surgeon |
| Business Address |
2025 Whitney Ave North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-07-10 |
| Effective Date | 2004-01-09 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 316963 | CSP.0032557 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 2025 WHITNEY AVE |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORTH HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randy L Reynolds | 252 Poteat Place, Franklin, TN 37064-2042 | Architect | 2012-08-01 ~ 2013-07-31 |
| Simone M Poteat | 99 Sutton Place, Bloomfield, CT 06002 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Kennara Poteat | 127 Bedford Street, Hartford, CT 06112 | Medication Administration Certification | ~ |
| Keyana Poteat | 72 Adams St, Hartford, CT 06112 | Medication Administration Certification | 2018-10-27 ~ 2020-10-26 |
| Keith Poteat | 34 Willard St Apt 5311, Hartford, CT 06105-1814 | Asbestos Abatement Supervisor | 2010-08-06 ~ 2011-03-31 |
| Charlotte Poteat | 119 D Hillcrest Ave, West Hartford, CT 06110 | Medication Administration Certification | 2019-06-01 ~ 2021-05-31 |
| Tiffany Poteat | 65 Willow Rd, Rocky Hill, CT 06067 | Medication Administration Certification | 2008-10-10 ~ 2010-10-09 |
| Mary H Poteat | 48-50 Bliss Street, Hartford, CT 06114 | Notary Public Appointment | 2006-04-28 ~ 2011-04-30 |
| Rosalind Renee Poteat | 106 Litton Ave, Groton, CT 06340 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Robert Poteat | 19 Kensington Lane, Rocky Hill, CT 06067 | Medication Administration Certification | 2013-04-10 ~ 2015-04-09 |
Please comment or provide details below to improve the information on THENA G POTEAT 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).