MATTHEW BABCOCK (Credential# 1398683) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MATTHEW BABCOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056219. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Emergency Department, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | MATTHEW BABCOCK |
| Credential ID | 1398683 |
| Credential Number | 1.056219 |
| Credential Type | Physician/Surgeon |
| Business Address |
Emergency Department Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1400260 | CSP.0064680 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1232007 | CSP.0057688 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-09 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | EMERGENCY DEPARTMENT |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Albert L Babcock | Simsbury, CT 06070 | Physician/surgeon | 2008-07-30 ~ 2009-06-30 |
| W Scott Nettrour | 9104 Babcock Blvd, Pittsburgh, PA 15237 | Physician/surgeon | 2002-12-16 ~ 2003-12-31 |
| Donald K Babcock · Babcock Builders | 468 Town St, East Haddam, CT 06423 | Home Improvement Contractor | 2002-04-19 ~ 2002-11-30 |
| Nat Babcock · Nat Babcock Company | 868 Mill Plain Rd, Fairfield, CT 06824 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
| Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
| Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Matthew Bushey Md | 1 Self Ct, Wallingford, CT 06492-2595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on MATTHEW BABCOCK.
| 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).