DOUGLAS G RIDYARD (Credential# 1488789) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DOUGLAS G RIDYARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058184-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 701 Massachusetts Ave Apt 9, Boston, MA 02118-4053. The current status is active.
Licensee Name | DOUGLAS G RIDYARD |
Credential ID | 1488789 |
Credential Number | 1.058184-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
701 Massachusetts Ave Apt 9 Boston MA 02118-4053 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-07-01 |
Effective Date | 2016-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2018-05-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1354004 | CSP.0062766 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 701 MASSACHUSETTS AVE APT 9 |
City | BOSTON |
State | MA |
Zip Code | 02118-4053 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martin J Batt · Isgenuity LLC | 500 Harrison Avenue, Suite 5f, Boston, MA 02118 | Architect | 2020-08-01 ~ 2021-07-31 |
Benjamin Ravelson | 675 Tremont Street, #6, Boston, MA 02118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Samuel M. Hauslaib | 673 Tremont Street, Apartment 8, Boston, MA 02118 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
Steven Arthur Faerstain | 820 Harrison Avenue, Boston, MA 02118 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Ryan Thomas Peterson | 720 Harrison Ave, Dob 9th Floor, Rm 915, Boston, MA 02118 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
Samuel M Koonce | 580 Tremont Street, Boston, MA 02118 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
George C Ballantyne | 22 Worcester Square, Boston, MA 02118 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
William Kendall Bache | 300 Harrison Ave, Boston, MA 02118 | Physician/surgeon | ~ |
Threehill Capital Partners, LLC | 212 West Springfield Street, Boston, MA 02118 | Securities - Exemptions | 2020-02-24 ~ |
Flint Program Incorporated | 574 Massachusetts Avenue Apt B 3, Boston, MA 02118 | Public Charity | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 02118 |
City | BOSTON |
Zip Code | 02118 |
License Type | Resident Physician |
License Type + County | Resident Physician + BOSTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Herbert W Ridyard Jr | 65 Fieldstone Dr, Storrs Mansfield, CT 06268-2573 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Douglas Palacios | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Nerea Lopetegui Lia | 70 Douglas St, Stratford, CT 06614-2763 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
Douglas M Herrin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Douglas A Rottmann | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Analise Y Douglas | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Douglas Zelisko | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2015-06-28 ~ 2019-06-30 |
Dianna M Orr | 621 Ridyard Ave, Kewanee, IL 61443-3027 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
Sarah Ridyard | 11 Haynes Rd, West Hartford, CT 06117-2728 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Kristine P Ridyard Aprn | 65 Fieldstone Drive, Storrs, CT 06268 | Advanced Practice Registered Nurse | 2016-04-01 ~ 2017-03-31 |
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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).