JOHN W GEOGHEGAN MD (Credential# 539172) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
JOHN W GEOGHEGAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008463. The credential type is physician/surgeon. The effective date is June 1, 2004. The expiration date is May 31, 2005. The business address is 21 Guernsey Road, Bloomfield, CT 06002-3419. The current status is inactive.
| Licensee Name | JOHN W GEOGHEGAN MD |
| Credential ID | 539172 |
| Credential Number | 1.008463 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Guernsey Road Bloomfield CT 06002-3419 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1957-02-27 |
| Effective Date | 2004-06-01 |
| Expiration Date | 2005-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155816 | CSP.0013673 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-05-28 - 2003-02-28 | INACTIVE |
| Street Address | 21 GUERNSEY ROAD |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3419 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Geoghegan | 21 Guernsey Road, Bloomfield, CT 06002 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John V Romano Md | Po Box 279, Canton, CT 06019-0279 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John G Gittzus Md | Po Box 796, Plymouth, NH 03264-0796 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| John W Blanton Jr | Guilford, CT 06437 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| John K Joe Md | 800 Howard Ave Rm #422, New Haven, CT 06520 | Physician/surgeon | 2006-04-03 ~ 2007-04-30 |
| John J Roh | 12 Little Brook Ln, Weston, CT 06883-2233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
| John Hwa | 300 George St Ste 759h, New Haven, CT 06511-6664 | Physician/surgeon | ~ |
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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).