CANDRA L SMITH-SLATAS (Credential# 559033) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CANDRA L SMITH-SLATAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041450. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1331 Silas Deane Highway, Wethersfield, CT 06109. The current status is active.
Licensee Name | CANDRA L SMITH-SLATAS |
Credential ID | 559033 |
Credential Number | 1.041450 |
Credential Type | Physician/Surgeon |
Business Address |
1331 Silas Deane Highway Wethersfield CT 06109 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2003-05-12 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
341260 | CSP.0033665 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-06-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 1331 SILAS DEANE HIGHWAY |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sherry T Banack | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Francis R Sablone | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Certified Public Accountant Firm Permit | 1998-01-01 ~ 1998-12-31 |
Kim Marie Casner · William Raveis Real Estate Inc | 1331 Silas Deane Highway, Wethersfield, CT 06109 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
George J Smith | 310 Cedar St, New Haven, CT 06510 | Physician/surgeon | 1993-07-23 ~ 1994-07-31 |
Charles Austin Smith | 501 Folsom St, San Francisco, CA 94105-3174 | Physician/surgeon | ~ |
Scott D Smith | 3 Enterprise Dr Ste 220, Shelton, CT 06484-4696 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
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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).