DIONNE K SMITH (Credential# 564377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
DIONNE K SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046795. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 4196 Bronxwood Ave, Bronx, NY 10466-3119. The current status is inactive.
| Licensee Name | DIONNE K SMITH |
| Credential ID | 564377 |
| Credential Number | 1.046795 |
| Credential Type | Physician/Surgeon |
| Business Address |
4196 Bronxwood Ave Bronx NY 10466-3119 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-07-21 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 512189 | CSP.0044472 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-20 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 4196 BRONXWOOD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10466-3119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha Anderson | 4025 Grace Ave, Bronx, NY 10466 | Registered Nurse | 2020-06-16 ~ 2021-01-31 |
| Terri-ann Renae Mclean | 4055 Duryea Ave, Bronx, NY 10466 | Registered Nurse | ~ |
| Daniela Taylor | 4080 De Reimer Ave, Bronx, NY 10466 | Licensed Practical Nurse | 2019-01-01 ~ 2019-12-31 |
| June R Jordan | 4250 Digney, Bronx, NY 10466 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Victoria Lanquah | 1152 East 224th Street, Bronx, NY 10466 | Registered Nurse - Temporary | 2020-01-09 ~ 2020-05-08 |
| Alando Powell | 1173 E 229th St, The Bronx, CT 10466 | Medication Administration Certification | ~ |
| Donna Welsh | 4220 Bronxwood Avenue, Bronx, NY 10466 | Medication Administration Certification | 2020-03-02 ~ 2022-03-01 |
| Patrice Goburn | 749 East 231st, Bronx, NY 10466 | Professional Counselor Associate | 2020-04-14 ~ 2021-02-28 |
| Kareeme Rose | 3724 Rombouts Ave, Bronx, NY 10466 | Medication Administration Certification | ~ |
| Kevin Bruno | 4103 Hill Ave, Bronx, NY 10466 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 10466 | |||
| City | BRONX |
| Zip Code | 10466 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph G Dionne · Dionne Carpentry | 19 Griswold Road, Niantic, CT 06357 | Home Improvement Contractor | 2016-03-21 ~ 2016-11-30 |
| Gilles J Dionne · Dionne Bldg Contrs | 89 Pine St, Bristol, CT 06010-6928 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Dionne Smith | 114 Sodom Lane, P.o. Box 127, Derby, CT 06418 | Medication Administration Certification | 2009-04-08 ~ 2011-04-07 |
| Dallas A Smith | Greensboro, NC 27410 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Eni Smith | 888 W Big Beaver Rd, Troy, MI 48084-4736 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Ben Ten | 52 Smith Farm Rd, Amston, CT 06231-1241 | Physician/surgeon | 2011-09-27 ~ 2012-03-31 |
| Lou M Smith | Po Box 15538, Durham, NC 27704-0538 | Physician/surgeon | 1988-10-28 ~ 1989-02-28 |
| Robin L Smith | 930 5th Ave Apt 8h, New York, NY 10021-2680 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| C A Smith | Box 1524, Castle Afb, CA 95342 | Physician/surgeon | 1996-05-03 ~ 1997-04-30 |
Please comment or provide details below to improve the information on DIONNE K SMITH.
| 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).