JOHN C DOUGLAS (Credential# 1222830) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JOHN C DOUGLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053165. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 141 North Central Avenue, Hartsdale, NY 10530. The current status is active.
| Licensee Name | JOHN C DOUGLAS |
| Credential ID | 1222830 |
| Credential Number | 1.053165 |
| Credential Type | Physician/Surgeon |
| Business Address |
141 North Central Avenue Hartsdale NY 10530 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-18 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1223247 | CSP.0057195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 141 North Central Avenue |
| City | Hartsdale |
| State | NY |
| Zip Code | 10530 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas L Faustini | 6 Burns Street, Hartsdale, NY 10530 | Architect | 2020-08-01 ~ 2021-07-31 |
| Delali A Goka | 62 Chaucer St, Hartsdale, NY 10530 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Bennie Chiles | Westchester Spine and Brain Surgery, Hartsdale, NY 10530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Adele Lasorsa | 47 North Central Avenue Apt 1 I, Hartsdale, NY 10530 | Notary Public Appointment | 2015-03-23 ~ 2020-03-31 |
| Barbara U Zakrzewski | 32 Wood End Rd, Hartsdale, NY 10530 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Aries Deitch & Endelson Inc | 110 South Central Ave, Hartsdale, NY 10530 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Alexa Olimpio | 82 Rocklege Rd Apt. 82 M, Hartsdale, NY 10530 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Martin Ozer | 100 High Point Drive Apt 703, Hartsdale, CT 10530 | Tax Preparer/facilitator Permit | 2020-02-26 ~ 2022-02-28 |
| Martha M Elliott | 125 N Washington Ave, Hartsdale, NY 10530 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Ronald Merrill Weiss | 116 Emerson Avenue, Hartsdale, NY 10530 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Find all Licenses in zip 10530 | |||
| City | Hartsdale |
| Zip Code | 10530 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hartsdale |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Audrey Douglas | 26 John St, Derby, CT 06418 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Douglas Duchen | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Douglas G Walled | 100 Luquer St, Brooklyn, NY 11231 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jeromy Patterson | 4455 Douglas Ave, Bronx, NY 10471-3519 | Physician/surgeon | ~ |
| Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
| Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
| Douglas J Van Der Heide | 7 East 85 St, New York, NY 10028 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Douglas A Ballan | 145 Connetquot Dr, Oakdale, NY 11769-1902 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
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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).