RICKY WAYNE MCCULLOUGH (Credential# 1501323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
RICKY WAYNE MCCULLOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060367. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 1768 Storrs Road, Storrs, CT 06268. The current status is active.
| Licensee Name | RICKY WAYNE MCCULLOUGH |
| Credential ID | 1501323 |
| Credential Number | 1.060367 |
| Credential Type | Physician/Surgeon |
| Business Address |
1768 Storrs Road Storrs CT 06268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-17 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-23 |
| Street Address | 1768 Storrs Road |
| City | Storrs |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | Storrs |
| Zip Code | 06268 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Storrs |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie A Mccullough | 465 Buckland Hills, Manchester, CT 06040 | Physician/surgeon | 1995-02-07 ~ 1996-02-29 |
| David H. Mccullough | 12 Promised Road, Westport, CT 06880 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Andrew R Mccullough | 874 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 1993-08-25 ~ 1994-10-31 |
| Louise D Mccullough | 5014 Cambridge St, Sugar Land, TX 77479-3969 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Eric Stuart Schaffer | 1303 Mccullough Ave Ste 363, San Antonio, TX 78212-5605 | Physician/surgeon | ~ 1988-06-30 |
| Martin Portillo | 28 Ricky Ln, Norwalk, CT 06854-3403 | Physician/surgeon | 1991-05-10 ~ 1992-03-31 |
| Ricky Zegelstein | 65 A Beverly Rd, Great Neck, NY 11021 | Physician/surgeon | 1995-07-17 ~ 1996-06-30 |
| Ricky J Sayegh | 390 Fort Hill Rd, Scarsdale, NY 10583-2411 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Charles D Mccullough | 218 Southport Woods, Southport, CT 06890 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
Please comment or provide details below to improve the information on RICKY WAYNE MCCULLOUGH.
| 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).