PHILLIP ANDREW BILDERBACK (Credential# 1434704) 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.
PHILLIP ANDREW BILDERBACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056782. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 32 Strawberry Hill Ct., Stamford, CT 06902. The current status is active.
| Licensee Name | PHILLIP ANDREW BILDERBACK |
| Credential ID | 1434704 |
| Credential Number | 1.056782 |
| Credential Type | Physician/Surgeon |
| Business Address |
32 Strawberry Hill Ct. Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-31 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1513385 | CSP.0068007 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 32 Strawberry Hill Ct. |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard J Miles | 32 Strawberry Hill Ct., Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Sander Markx | 32 Strawberry Hill Ct., Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phillip F Pierce Jr | 3 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Phillip I Menasche | 19 Truman St, Norwalk, CT 06850-3641 | Physician/surgeon | ~ 1986-04-30 |
| Martin Phillip Kasofsky | Po Box 466, Stanfordville, NY 12581-0466 | Physician/surgeon | 1990-09-28 ~ 1992-02-29 |
| Phillip H Kuo | 2225 E Hampton Street, Tucson, AZ 85719 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Phillip P Smith | 5 Willow Lane, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Phillip Dickey Md | 60 Temple Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Phillip Andrus Md | 14 Lefurgy Ave, Hastings-on-hudson, NY 10706 | Physician/surgeon | 2019-10-07 ~ 2020-09-30 |
| Phillip P Luchini | 1481 Chapel St, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Phillip S Kick | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Phillip M Boiselle | 28 Temple Court, New Haven, CT 06511 | Physician/surgeon | 1994-03-07 ~ 1995-01-31 |
Please comment or provide details below to improve the information on PHILLIP ANDREW BILDERBACK.
| 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).