STEVEN CHURCH DPM (Credential# 698937) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is May 5, 1999. The license expiration date date is March 31, 2000. The license status is INACTIVE.
STEVEN CHURCH DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000470. The credential type is podiatrist. The effective date is May 5, 1999. The expiration date is March 31, 2000. The business address is 21 Clover Crest Road, Wethersfield, CT 06109. The current status is inactive.
Licensee Name | STEVEN CHURCH DPM |
Credential ID | 698937 |
Credential Number | 19.000470 |
Credential Type | Podiatrist |
Business Address |
21 Clover Crest Road Wethersfield CT 06109 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1987-10-23 |
Effective Date | 1999-05-05 |
Expiration Date | 2000-03-31 |
Refresh Date | 2009-07-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
156402 | CSP.0016447 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-05-05 - 2000-02-28 | INACTIVE |
Street Address | 21 CLOVER CREST ROAD |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Podiatrist |
License Type + County | Podiatrist + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sherri Goldman Dpm | 11 Church St, New Canaan, CT 06840 | Podiatrist | 2007-03-26 ~ 2008-03-31 |
Steven M Yager | 901 Cedarhurst St, No Woodmere, NY 11581 | Podiatrist | 1992-07-23 ~ 1993-06-30 |
Steven E Tager | 989 Reservoir Ave, Cranston, RI 02910-5138 | Podiatrist | 1966-10-07 ~ 1981-08-31 |
Sidney Harinstein | 514 Church Hill Rd, Trumbull, CT 06611 | Podiatrist | 1996-04-18 ~ 1997-04-30 |
Andrew Steven Au | 1706 Avenue T, Brooklyn, NY 11229-3412 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
Steven B Shindler | 45 Laurel Ledge Court, Stamford, CT 06903 | Podiatrist | 2019-08-01 ~ 2020-07-31 |
Steven Francis Massucci | 630 Smithfield Rd Apt 1003, North Providence, RI 02904-2932 | Podiatrist | 2020-06-16 ~ 2020-11-30 |
Steven W Berry | 385 Church St, Guilford, CT 06437-6003 | Physical Therapist | 2018-09-01 ~ 2019-08-31 |
Steven Vasquez | 39 Church St, Greenwich, CT 06830-5603 | Emergency Medical Technician | ~ |
Steven W Jones | 27 Church St Apt A, Broad Brook, CT 06016-9311 | Elevator Trainee | ~ |
Please comment or provide details below to improve the information on STEVEN CHURCH DPM.
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).