CHESTER F CULLEN MD (Credential# 539015) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 22, 2005. The license expiration date date is December 31, 2006. The license status is INACTIVE.
CHESTER F CULLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007933. The credential type is physician/surgeon. The effective date is November 22, 2005. The expiration date is December 31, 2006. The business address is 27 Fernwood Rd, West Hartford, CT 06119. The current status is inactive.
| Licensee Name | CHESTER F CULLEN MD |
| Credential ID | 539015 |
| Credential Number | 1.007933 |
| Credential Type | Physician/Surgeon |
| Business Address |
27 Fernwood Rd West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1955-08-17 |
| Effective Date | 2005-11-22 |
| Expiration Date | 2006-12-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148569 | CSP.0004291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-03-01 - 1998-02-28 | INACTIVE |
| Street Address | 27 FERNWOOD RD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary T Cullen Md | 27 Fernwood Rd, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Evans Jr | 15 Cullen Way, Exeter, NH 03833-4309 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| James R Cullen | 581 Hall Hill Rd, Somers, CT 06071 | Physician/surgeon | 1995-04-05 ~ 1996-06-30 |
| Cullen F Shipman | 27 Madison Circle, Greenfield, MA 01301 | Physician/surgeon | 2008-05-21 ~ 2009-06-30 |
| Richard C Newell | Chester Village West, Chester, CT 06412 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
| Francis J Cullen | 4217 Ironwood Court, Wichita, KS 67226 | Physician/surgeon | ~ 1995-04-30 |
| Sarah V Cullen | 48 Forest Drive, Mount Kisco, NY 10549 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Cullen Griffith | 82 South Gate Lane, Southport, CT 06890 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ethany L Cullen | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
| Jeffrey P Cullen | 128 Circle Ridge Drive, Burr Ridge, IL 60527 | Physician/surgeon | 2004-03-29 ~ 2005-04-30 |
| John G Meisel Md | 150 Main St, Chester, CT 06412 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
Please comment or provide details below to improve the information on CHESTER F CULLEN MD.
| 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).