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.
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.
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 |
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 |
Street Address | 13829 E POELSTRA ST |
City | VAIL |
State | AZ |
Zip Code | 85641-5921 |
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 |
City | VAIL |
Zip Code | 85641 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + VAIL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dianne H Haugen | 30 Page Street, Pinehurst, NC 28374 | Physician/surgeon | ~ |
Dianne C Duffey Md | 950 Campbell Avenue, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sherry L Lee | 24 Kelly Dr, Marlton, NJ 08053-9701 | Physician/surgeon | 2017-07-25 ~ 2018-04-30 |
Sherry Hui Yu | 40 Temple St Ste 5a, New Haven, CT 06510-2745 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sherry L Gross | 40 Park Ave., 6h, New York, NY 10016 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
Sherry M Sheppard | 451 Heywood Ave, Orange, NJ 07050-2006 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Timothy M Sherry | 264 Elm Street, Northampton, MA 01060 | Physician/surgeon | 1990-03-23 ~ 1995-04-30 |
William J Currao | 14 Sherry Dr, Southington, CT 06489-2842 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Sherry L Apple | 415 Morris Street, Charleston, WV 25301 | Physician/surgeon | 2001-03-26 ~ 2001-12-31 |
Sherry F Stanton | 50 East 89 Street, New York, NY 10128 | Physician/surgeon | 2003-04-28 ~ 2004-04-30 |
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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).