MARY ALDRENE L TAN (Credential# 564825) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
MARY ALDRENE L TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047243. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 15 Crawford St Ste 100, Needham, MA 02494-2618. The current status is active.
| Licensee Name | MARY ALDRENE L TAN |
| Credential ID | 564825 |
| Credential Number | 1.047243 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Crawford St Ste 100 Needham MA 02494-2618 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-12-18 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-10-25 |
| Street Address | 15 CRAWFORD ST STE 100 |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02494-2618 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mei-yu Hsu | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tanya Arvind Rege | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Yanlong Zhang | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Mandana Mahmoodi | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Mahmoud Goodarzi | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark S Redston | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Adriano Piris | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Mark Adler | 18 Crawford Street, Needham, MA 02494 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Corey M Bialow | 200 Highland Avenue, Needham, MA 02494 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Daniel C Brocks | 464 Hillside Ave, Needham, MA 02494 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Convergent Dental, Inc. | 140 Kendrick Street, Needham Heights, MA 02494 | Securities - Exemptions | 2020-01-24 ~ |
| Philip F Quillard | 178/180 West Street, Needham, MA 02494 | Nursing Home Administrator | 2020-02-01 ~ 2022-01-31 |
| Mohammad Hadi Esteghamati | 57 Noanett Rd, Needham, MA 02494 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Caroline Wolfenden Archibald | 275 2nd Ave, Needham, MA 02494 | Registered Nurse | ~ |
| Christopher A Dowling | 15 Crawford St, Needham, MA 02494 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Fallon Development Inc | 171 Reservoir St, Needham, MA 02494 | New Home Construction Contractor | 2009-10-01 ~ 2011-09-30 |
| Arash Radfar | 15 Crawford St., Needham, MA 02494 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 02494 | |||
| City | NEEDHAM |
| Zip Code | 02494 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEEDHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary K Smentek | 78 Olive St #318, New Haven, CT 06510 | Physician/surgeon | 2006-02-06 ~ 2007-02-28 |
| Mary L Newport | 22 Avonridge, Avon, CT 06001 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Mary P Olsen | 16 Main St, Farmington, CT 06032-2230 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Mary Fiel-gan | 7 Trumbull Ln, Farmington, CT 06032-3061 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Fraga | 26 Clinton Ave, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MARY ALDRENE L TAN.
| 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).