FORREST MAHONY (Credential# 2046772) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2023. The license status is ACTIVE.
FORREST MAHONY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065736-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 271 Shady Hill Rd, Fairfield, CT 06824-7345. The current status is active.
| Licensee Name | FORREST MAHONY |
| Credential ID | 2046772 |
| Credential Number | 1.065736-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
271 Shady Hill Rd Fairfield CT 06824-7345 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1137083 | 70.015837 | Emergency Medical Technician | 2012-12-19 | 2012-12-19 - 2015-10-01 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Forrest Mahony | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | ~ |
| Street Address | 271 SHADY HILL RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-7345 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillene F Mahony | 271 Shady Hill Rd, Fairfield, CT 06824-7345 | Emergency Medical Technician | 2014-05-23 ~ 2017-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria C Demos | 233 Shady Hill Rd, Fairfield, CT 06824-7345 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Alyson French Torello | 205 Shady Hill Rd, Fairfield, CT 06824-7345 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William J Mahony · Bill Mahony | 90 Craigie Ave, Waterbury, CT 06705-2902 | Emergency Medical Responder | 2019-04-01 ~ 2022-03-31 |
| Stephen P O'mahony | 140 Mill River Rd, Fairfield, CT 06824-2959 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter Forrest | 390 Bee St Apt 7723, Meriden, CT 06450 | Home Improvement Contractor | ~ 1995-09-01 |
| Richard E Forrest · R E Forrest Excavation | 200 Richmond Rd, Putnam, CT 06260 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Michael Forrest · Michael Forrest Painting | 321 Woodruff Rd, Milford, CT 06460 | Home Improvement Contractor | 2008-12-30 ~ 2009-11-30 |
| Forrest S Rubenstein | 160 Country Road, Fairfield, CT 06824 | Physician/surgeon | 2009-05-18 ~ 2010-02-28 |
| Arnold L Case | 5 Q Talcott Forrest, Farmington, CT 06032 | Physician/surgeon | 1996-02-13 ~ 1997-02-28 |
| Benjamin F Mason | 111-20 76 Road, Forrest Hills, NY 11375 | Physician/surgeon | 2007-02-01 ~ 2007-08-31 |
| Debra J Forrest Md | 4 Adams Ln, West Hartford, CT 06117-2801 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gerald R Haddock Do | 6k Talcott Forrest Rd, Farmington, CT 06032 | Physician/surgeon | 2007-01-16 ~ 2007-10-31 |
Please comment or provide details below to improve the information on FORREST MAHONY.
| 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).