SHERRY DIANNE DEKEYSER
Physician/surgeon


Address: 13829 E Poelstra St, Vail, AZ 85641-5921

SHERRY DIANNE DEKEYSER (Credential# 560946) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2018. The license expiration date date is May 31, 2019. The license status is INACTIVE.

Business Overview

SHERRY DIANNE DEKEYSER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043364. The credential type is physician/surgeon. The effective date is June 1, 2018. The expiration date is May 31, 2019. The business address is 13829 E Poelstra St, Vail, AZ 85641-5921. The current status is inactive.

Basic Information

Licensee Name SHERRY DIANNE DEKEYSER
Credential ID 560946
Credential Number 1.043364
Credential Type Physician/Surgeon
Business Address 13829 E Poelstra St
Vail
AZ 85641-5921
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-05-02
Effective Date 2018-06-01
Expiration Date 2019-05-31
Refresh Date 2019-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
405563 CSP.0037518 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-05-20 2008-03-01 - 2009-02-28 INACTIVE

Office Location

Street Address 13829 E POELSTRA ST
City VAIL
State AZ
Zip Code 85641-5921

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Richalyn Gae Renfro 649 E Pima Meadows Drive, Vail, AZ 85641 Registered Nurse 2019-01-01 ~ 2019-12-31
James L Kasierski 10111 S Tea Wagon Way, Vail, AZ 85641 Land Surveyor 2014-02-01 ~ 2015-01-31
Joseph A Everett 572 E Sterling Canyon Drive, Vail, AZ 85641 Dentist 2018-05-01 ~ 2019-04-30
Robert J Welch 20140 South Sonoita Hwy, Vail, AZ 85641 Professional Engineer 2017-03-23 ~ 2018-01-31
Richard L Jiroudek 17354 S Indigo Mesa Pass, Vail, AZ 85641 Electrical Unlimited Contractor 2010-10-01 ~ 2011-09-30
Joseph N Sacco 240 N Vail View Rd, Vail, AZ 85641 Electrical Unlimited Journeyperson 2005-10-01 ~ 2006-09-30
Susan C Bengtson 8901 S Placita Nobleza, Vail, AZ 85641 Registered Nurse 1999-03-12 ~ 2000-04-30
Rhonda Batchelder 12245 South Wild Rabbit Run Road, Vail, AZ 85641 Registered Nurse 1982-09-27 ~ 1989-04-30
Michael James Talbot 585 E Pima Meadows Dr, Vail, AZ 85641-2416 Registered Nurse 2020-01-01 ~ 2020-12-31
Stephen L Marinone 9255 E Sycamore Springs Trl, Vail, AZ 85641-6450 Electrical Unlimited Contractor 2019-10-01 ~ 2020-09-30
Find all Licenses in zip 85641

Competitor

Search similar business entities

City VAIL
Zip Code 85641
License Type Physician/Surgeon
License Type + County Physician/Surgeon + VAIL

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Dataset Information

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).

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