DAVID J HENDRICKS MD (Credential# 558495) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID J HENDRICKS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040912. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 29 Evergreen Terr., Seymour, CT 06483. The current status is active.
| Licensee Name | DAVID J HENDRICKS MD |
| Credential ID | 558495 |
| Credential Number | 1.040912 |
| Credential Type | Physician/Surgeon |
| Business Address |
29 Evergreen Terr. Seymour CT 06483 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-10-22 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 330362 | CSP.0033080 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-01-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 879452 | 72.001245 | Paramedic | 1998-02-27 | 2004-04-29 - 2005-04-30 | INACTIVE |
| 864031 | 70.921930 | Emergency Medical Technician | 1992-09-01 | - 1998-06-30 | INACTIVE |
| Street Address | 29 Evergreen Terr. |
| City | Seymour |
| State | CT |
| Zip Code | 06483 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie L Rossetti · Milia | 3 Omar Street, Seymour, CT 06483 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Megan Ann Mahoney | 18 Hickory Lane, Seymour, CT 06483 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Lesley K Allard | 50 Balance Rock Rd, Seymour, CT 06483 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Janet E Panuczak · Zaleski | 152 Botsford Road, Seymour, CT 06483 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Diana Magdalena Janus | 21 Evening Star Drive, Seymour, CT 06483 | Speech and Language Pathologist | ~ |
| Zois Pizza Palace | 48 Main St, Seymour, CT 06483 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathy Augustitus | 8 Ridge Road, Seymour, CT 06483 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Chad Glazer | 3 Legion Road, Seymour, CT 06483 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Karin Svehlak | 14 Oak Hill Road, Seymour, CT 06483 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Danielle M Marquardt | 243 Pearl Street, Seymour, CT 06483 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06483 | |||
| City | Seymour |
| Zip Code | 06483 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Seymour |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Hendricks Churchill LLC · Hendricks Churchill | 91 Main St, Sharon, CT 06069-2019 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Guy Hendricks · Guy Hendricks Store Design & Masonry | Po Box 630, Woodbury, CT 06798 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| David P Smith | 65 Hendricks Dr, Morris Plains, NJ 07950 | Professional Engineer | 2002-03-04 ~ 2003-01-31 |
| David G Hendricks | 904 Garden St, Hartford, CT 06112 | Asbestos Abatement Worker | 2008-03-27 ~ 2008-09-30 |
| Hendricks Concessions · Crazy Bout Crisp | 534 Brightwood Ave, Torrington, CT 06790-3621 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hendricks Pools Inc | 304 Taunton Ave, Seekonk, MA 02771 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| David A Crowe | Po Box 677, Millwood, NY 10546-0677 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
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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).