CHARLES P PHILIP (Credential# 1240209) 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.
CHARLES P PHILIP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053621-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 950 Campbell Ave, West Haven, CT 06516-2770. The current status is active.
| Licensee Name | CHARLES P PHILIP |
| Credential ID | 1240209 |
| Credential Number | 1.053621-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-24 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1256684 | CSP.0059079 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-12-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Zegarek | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Henry J Taylor Iv | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Brittany L Hervey | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Asim Farooq Durrani | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Shuba Rodrigues Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jitendranath Lakshmipathy Do | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura J Davis | 950 Campbell Ave # 240, West Haven, CT 06516-2770 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elissa Mccarthy | 950 Campbell Ave Bldg 1, West Haven, CT 06516-2770 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Jeffrey H Kerner | West Haven Va Hospital, West Haven, CT 06516-2770 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Niyati Dhand | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-07-13 ~ 2019-02-28 |
| Kathleen L Broad | 950 Campbell Ave Rm 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dana R. Saldaitis | 950 Campbell Ave Acsl 11, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Chui | 950 Campbell Ave Bldg 35a, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gihyun Yoon | 950 Campbell Ave Bldg. 35 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roopa Sethi | 950 Campbell Ave # 151-d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip A Shelton | 2100 St Charles Ave Apt 2a, New Orleans, LA 70130 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Philip M Le Noach | 56 H St 9486, Maxwell Afb, AL 36112-5304 | Physician/surgeon | 1994-12-23 ~ 1995-12-31 |
| Jisha Philip | 1 Horizon Dr Apt 15, Norwalk, CT 06854-2647 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Philip Kotch | 9 Declaration Rd, Southbury, CT 06488-3012 | Physician/surgeon | 2019-09-09 ~ 2020-10-31 |
| Philip T Glynn | 18 Burbank Rd, Longmeadow, MA 01006 | Physician/surgeon | 1991-01-25 ~ 1992-12-31 |
| Philip D Williams Md | 300 George St Ste 901, New Haven, CT 06511-6662 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Philip J Moorad | 69 Lexington St, New Britain, CT 06052 | Physician/surgeon | 1996-09-17 ~ 1997-08-31 |
| Philip E Sumner | 6 Tunxis Dr, Farmington, CT 06032-2814 | Physician/surgeon | 1998-04-13 ~ 1999-05-31 |
Please comment or provide details below to improve the information on CHARLES P PHILIP.
| 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).