AYANNA V BUCKNER MD (Credential# 559349) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
AYANNA V BUCKNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041766. The credential type is physician/surgeon. The effective date is February 25, 2005. The expiration date is February 28, 2006. The business address is 207 High Top Circle West, Hamden, CT 06514. The current status is inactive.
Licensee Name | AYANNA V BUCKNER MD |
Credential ID | 559349 |
Credential Number | 1.041766 |
Credential Type | Physician/Surgeon |
Business Address |
207 High Top Circle West Hamden CT 06514 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2003-08-12 |
Effective Date | 2005-02-25 |
Expiration Date | 2006-02-28 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
374989 | CSP.0035279 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-07-16 | 2005-03-01 - 2006-02-28 | INACTIVE |
Street Address | 207 HIGH TOP CIRCLE WEST |
City | HAMDEN |
State | CT |
Zip Code | 06514 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06514 |
City | HAMDEN |
Zip Code | 06514 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ayanna Vasquez | 218-11 94th Drive, Queens Village, NY 11428 | Physician/surgeon | ~ |
Scott C Buckner | 110 Albany Turnpike, Canton, CT 06019-2549 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Kelli Suzanne Buckner | 7750 Town Centre Drive, Broadview Heights, OH 44147 | Physician/surgeon | 2019-12-06 ~ 2020-11-30 |
David Buckner · David Buckner Carpentry | Peaceable Hill, Brewster, NY 10509 | Home Improvement Contractor | 1995-06-16 ~ 1995-11-30 |
Buckner Foundation Inc. | 700 N Pearl St Ste 1200, Dallas, TX 75201-7405 | Public Charity | 2015-12-01 ~ 2016-11-30 |
Buckner International | 700 N Pearl St Ste 1200, Dallas, TX 75201-7405 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Buckner Heavylift Cranes | 4732 Nc 54 East, Graham, NC 27253 | Crane Registration | 2015-07-10 ~ 2016-07-09 |
Buckner Children and Family Services Inc. | 600 N. Pearl Street, Suite 2000, Dallas, TX 75201 | Public Charity | 2006-06-15 ~ 2006-05-31 |
Buckner Orphan Care International Inc. | 600 N. Pearl Street, Suite 2000, Dallas, TX 75201 | Public Charity | 2006-06-19 ~ 2006-05-31 |
Jason, Pelletier, Buckner, Sullivan & Zubrow, LLC | One Gold St, Hartford, CT 06103 | Certified Public Accountant Firm Permit | 1996-01-17 ~ 1996-12-31 |
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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).