ERIN J BULLOUGH (Credential# 2038901) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2020. The license expiration date date is June 27, 2024. The license status is ACTIVE.
ERIN J BULLOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065309-RES. The credential type is resident physician. The effective date is June 22, 2020. The expiration date is June 27, 2024. The business address is 90 S Main St, Middletown, CT 06457-3649. The current status is active.
| Licensee Name | ERIN J BULLOUGH |
| Credential ID | 2038901 |
| Credential Number | 1.065309-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
90 S Main St Middletown CT 06457-3649 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-22 |
| Effective Date | 2020-06-22 |
| Expiration Date | 2024-06-27 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2045860 | CSP.0074069 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-18 | 2020-05-18 - 2021-02-28 | ACTIVE |
| Street Address | 90 S MAIN ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3649 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Agata K Harabasz | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Danielle C Hagglund | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Samantha T Morr | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Morgan R Pratt | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Nicholas A Read | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Alison Carini | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Allegra Parrillo | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Jonathan Katz | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Alexandra Carlson | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Yevgeniya Borovinskaya | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol J Annino | 173 Fowler Ave, Middletown, CT 06457-3649 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin M Rainosek | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Erin Davidowicz | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Erin C Taylor | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erin Mishelle White | 130 W Meadow Rd, Hamden, CT 06518-1154 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erin N Mulry | 35 Bonair Hill Rd, Tolland, CT 06084-2023 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Brooke Erin Lifland | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Erin Marie Cravez | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erin Diana Bright | 260 Crown St Apt 2g, New Haven, CT 06511-6672 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erin Kelly Flynn | 750 Whitney Ave, New Haven, CT 06511 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
| Erin Osborn | 95 Hockanum Blvd Unit 6112, Vernon, CT 06066-7022 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
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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).