NICHOLAS J BENNETT MD (Credential# 993454) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NICHOLAS J BENNETT MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050190. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 10 Ruthies Ln, West Simsbury, CT 06092. The current status is active.
| Licensee Name | NICHOLAS J BENNETT MD |
| Credential ID | 993454 |
| Credential Number | 1.050190 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Ruthies Ln West Simsbury CT 06092 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1028413 | CSP.0051208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-08-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 10 RUTHIES LN |
| City | WEST SIMSBURY |
| State | CT |
| Zip Code | 06092 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Angel Enterprises LLC | 10 Ruthies Ln, West Simsbury, CT 06092-2023 | Home Improvement Contractor | 2010-12-17 ~ 2011-11-30 |
| Daniel R Myers | 10 Ruthies Ln, West Simsbury, CT 06092-2023 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard E Schoenhardt | 7 Pasture Ln, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Agnes M Walsh | 202 Farms Village Road, West Simsbury, CT 06092 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Theodore C Hsu | 22 Fox Den Road, West Simsbury, CT 06092 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Keith R Epstein | 34 Fox Den Rd, Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Laura L Nelson | 109 Hedgehog Lane, West Simsbury, CT 06092 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
| Kathryn P Rothstein | 7 Sachems Trail, West Simsbury, CT 06092 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Timothy M Parker | 14 Cedar Hill Rd, West Simsbury, CT 06092 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Teresa Pfau St Denis | 55 Wildwood Rd, W Simsbury, CT 06092 | Architect | 2020-08-01 ~ 2021-07-31 |
| Jennifer R Martocchio | 6 Counrty Club Drive, West Simsbury, CT 06092 | Real Estate Salesperson | ~ |
| Felipe R Segura | 370c West Mountain Road, West Simsbury, CT 06092 | Real Estate Salesperson | 2020-06-10 ~ 2021-05-31 |
| Find all Licenses in zip 06092 | |||
| City | WEST SIMSBURY |
| Zip Code | 06092 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST SIMSBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven J Bennett Do | 13 Cos Cob Ave Unit A, Cos Cob, CT 06807-2116 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sumeet Goswami | 153 Bennett Ave, Apt 1e, New York, NY 10040 | Physician/surgeon | 2001-08-29 ~ 2002-07-31 |
| Matthew Bennett Ostrowitz | 5 Montebello Rd, Suffern, NY 10901 | Physician/surgeon | ~ |
| Gomes S Arantes | 105 Bennett Ave, New York, NY 10033 | Physician/surgeon | 1992-04-24 ~ 1992-12-31 |
| Bennett L Rosner Md | 5 Worden Point Rd, Sherman, CT 06784 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| William L Bennett | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michael H Bar | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kelly A Bennett | U.t. Medical Group, Memphis, TN 38163 | Physician/surgeon | 2002-05-06 ~ 2003-06-30 |
| Alcuin D Bennett | 26890 Thompson Rd, Perrysburg, OH 43551 | Physician/surgeon | 1995-05-26 ~ 1996-05-31 |
| Bennett S Goss Md | 106 Old Mill Road, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).