JAMES S FARRELLY (Credential# 1491658) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JAMES S FARRELLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059393-RES. The credential type is resident physician. The effective date is August 1, 2020. The expiration date is June 30, 2021. The business address is 24 Bayberry Ln, Milford, CT 06460-6561. The current status is active.
| Licensee Name | JAMES S FARRELLY |
| Credential ID | 1491658 |
| Credential Number | 1.059393-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
24 Bayberry Ln Milford CT 06460-6561 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1170816 | CSP.0055035 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1997414 | 1.065045 | Physician/Surgeon | 2020-03-23 | 2020-03-23 - 2020-10-31 | ACTIVE |
| Street Address | 24 BAYBERRY LN |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-6561 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | MILFORD |
| Zip Code | 06460 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Gusfa Md | Po Box 351, Middletown, CT 06457-7023 | Resident Physician | 2014-08-21 ~ 2021-06-30 |
| James T O'neill IIi | 260 Cabin Rd, Colchester, CT 06415-1505 | Resident Physician | 2018-04-09 ~ 2018-05-06 |
| Efia S James | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| James Lee Baier | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Max James Biondi | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| James B Gardner | 129 Jordan Ln, Stamford, CT 06903-3913 | Resident Physician | 2020-01-10 ~ 2021-06-30 |
| James H Kurfess | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| James Nugent | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| James Albert Rindt Jr | 57 Colony St, Hamden, CT 06518-3325 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| James William Stewart | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).