WILLIAM ARTHUR BOLLER (Credential# 1987585) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
WILLIAM ARTHUR BOLLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064886. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1 Wahoo Ave, Groton, CT 06349-2324. The current status is active.
| Licensee Name | WILLIAM ARTHUR BOLLER |
| Credential ID | 1987585 |
| Credential Number | 1.064886 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Wahoo Ave Groton CT 06349-2324 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-02-19 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2020739 | CSP.0073423 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-25 | 2020-03-25 - 2021-02-28 | ACTIVE |
| Street Address | 1 WAHOO AVE |
| City | GROTON |
| State | CT |
| Zip Code | 06349-2324 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina E Toufexis | 1 Wahoo Ave, Groton, CT 06349-2324 | Physician/surgeon | ~ 2018-08-31 |
| Gloria Pedrick Aprn | 1 Wahoo Ave, Groton, CT 06340 | Advanced Practice Registered Nurse | 1999-04-26 ~ 2000-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terina Kahealani Sanft | 1 Wahoo Ave Bldg 449, Groton, CT 06349-2324 | Radiographer | 2020-05-12 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Geoffrey Miles Schnirman | 1 Wahoo Avenue, Groton, CT 06349 | Psychologist | ~ |
| Herb J Carlon | 49 Golf Street, Groton, CT 06349 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shariff Sanchez | 239 Laurel Hill Avenue, Norwich, CT 06349 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Renee F Dunn · James | Bldg 83 Box 93, Groton, CT 06349 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Pearle Vision #c439 | Building 484, Groton, CT 06349 | Optical Selling Permit | 2019-09-05 ~ 2020-08-31 |
| Shahiah Gibson | 43 South Rd Apt 43-12b, Groton, CT 06349 | Medication Administration Certification | ~ |
| Taco Bell/pizza Hut/tcby Treats · Tacala North Inc | 86 Ella Grasso Tpke, Windsor Locks, CT 06349 | Bakery | 2000-07-01 ~ 2001-06-30 |
| International Association of Fire Fighters Local F-219 · Iaff Local F-219; Groton Federal Firefighters Iaff Local F-219 | Po Box 5003, Groton, CT 06349 | Public Charity | 2013-06-07 ~ 2014-11-30 |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| Wendy A Rossi | Nacc, Groton, CT 06349 | Registered Nurse | 2002-07-01 ~ 2003-06-30 |
| Find all Licenses in zip 06349 | |||
| City | GROTON |
| Zip Code | 06349 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arthur William Perry | 83 Berkley Ave, Belle Mead, NJ 08502-4622 | Physician/surgeon | 1987-06-26 ~ 1989-01-31 |
| Tracy L Boller | 75 Kaye Vue Dr., Hamden, CT 06514 | Physician Assistant | 2002-10-30 ~ 2003-10-31 |
| Arthur L Levy | New Haven, CT 06515 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
| Arthur P Mostel | 77 3rd St Apt C11, Stamford, CT 06905-4708 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Arthur Taub | 30 Conrad Dr, New Haven, CT 06515-2408 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Neil Arthur Feldstein | 710 W 168th St Ste 213, New York, NY 10032-3726 | Physician/surgeon | ~ |
| Arthur E Broadus Md | 22 Lincoln St, New Haven, CT 06511-3806 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Arthur D Heller | 750 Kappock St., Riverdale, NY 10463 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Kyung Jin Ahn | 800 Mac Arthur Blvd, Munster, IN 46321 | Physician/surgeon | 1995-05-15 ~ 1996-06-30 |
Please comment or provide details below to improve the information on WILLIAM ARTHUR BOLLER.
| 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).