DOUGLAS MICHAEL HILDREW (Credential# 1403659) 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.
DOUGLAS MICHAEL HILDREW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056282. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Yale Otolaryngology; Attn: Dr. Hildrew, New Haven, CT 06520. The current status is active.
Licensee Name | DOUGLAS MICHAEL HILDREW |
Credential ID | 1403659 |
Credential Number | 1.056282 |
Credential Type | Physician/Surgeon |
Business Address |
Yale Otolaryngology; Attn: Dr. Hildrew New Haven CT 06520 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-03-20 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1413023 | CSP.0065045 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | Yale Otolaryngology; Attn: Dr. Hildrew |
City | New Haven |
State | CT |
Zip Code | 06520 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06520 |
City | New Haven |
Zip Code | 06520 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + New Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Douglas Duchen | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Douglas J Anderson | 8 Jesse Ct, Montville, NJ 07045-9016 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
Herbert J Douglas | 490 Riverside Dr, Cheshire, CT 06410 | Physician/surgeon | 1988-06-23 ~ 1989-05-31 |
Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
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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).