ANDREW BOULEY (Credential# 1533435) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.
ANDREW BOULEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062043. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is Umass Memorial, Department of Neurology, Worcester, MA 01655. The current status is active.
| Licensee Name | ANDREW BOULEY |
| Credential ID | 1533435 |
| Credential Number | 1.062043 |
| Credential Type | Physician/Surgeon |
| Business Address |
Umass Memorial, Department of Neurology Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-19 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2019-02-19 |
| Street Address | UMass Memorial, Department of Neurology |
| City | Worcester |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Theo E Meyer Md | Umass Memorial Medical Ctr, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | Worcester |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Worcester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin K Bouley · M K Bouley Design | 477 N Engleville Rd, Storrs, CT 06268 | New Home Construction Contractor | 2002-04-22 ~ 2003-09-30 |
| Jon Bouley · Bouley's Painting | 893 Babcock Hill Rd, Coventry, CT 06238 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Andrew E Price | 530 First Ave, New York, NY 10016 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
| Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew Scatola | 80 Seymour St, Hartford, CT 06102 | Physician/surgeon | ~ |
| Andrew S Whyte Do | 17 Hi Ann Ct, Bethany, CT 06524-3259 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew Le | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew Blazar | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | ~ |
| Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
Please comment or provide details below to improve the information on ANDREW BOULEY.
| 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).