ANDREW J GRAHAM MD (Credential# 539840) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
ANDREW J GRAHAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.010936. The credential type is physician/surgeon. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 40 Temple St, New Haven, CT 06510. The current status is inactive.
| Licensee Name | ANDREW J GRAHAM MD |
| Credential ID | 539840 |
| Credential Number | 1.010936 |
| Credential Type | Physician/Surgeon |
| Business Address |
40 Temple St New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1962-05-28 |
| Effective Date | 2010-07-01 |
| Expiration Date | 2011-06-30 |
| Refresh Date | 2011-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153205 | CSP.0005152 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 40 TEMPLE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Hanson | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Daniel Rahul Agarwal | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mahsa A Sohrab | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Margaret A Baumbusch Brooks | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jill Christie Rotruck | 40 Temple St, New Haven, CT 06510-2718 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mary J Minkin | 40 Temple St, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kristen Nwanyanwu | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-08-26 ~ 2021-02-28 |
| Larissa Ann Habib | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-07-22 ~ 2021-02-28 |
| Joshua Andrew Farhadian | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Luciano Vito Del Priore | 40 Temple St, New Haven, CT 06510-2718 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew Graham Raisbeck | 123 Sisson Avenue, Hartford, CT 06106 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kurt W Graham | 1220 Boren Ave Apt 805, Seattle, WA 98101-2712 | Physician/surgeon | ~ |
| Arthur P Greenberg | 126 Graham St., Se, Pt. Charlotte, FL 33952 | Physician/surgeon | 1979-01-24 ~ 1982-01-31 |
| Roger A Graham | 761 River Road, Mystic, CT 06355-1237 | Physician/surgeon | 2009-05-21 ~ 2010-06-30 |
| Neville J Graham | Hartford Ob/gyn Group, Glastonbury, CT 06033 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Marcia K Graham | 1321 W Maplewood St, Springfield, MO 65807 | Physician/surgeon | 1985-08-20 ~ 1989-06-30 |
| Scott M Graham | 5760 E Gelding Dr, Scottsdale, AZ 85254-3073 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Jacob Graham | 171 East 84th St, New York, NY 10028 | Physician/surgeon | 1996-05-28 ~ 1997-02-28 |
| Ashfaq H Hakim | 1224 Graham Rd, Florissant, MO 63031 | Physician/surgeon | 1998-07-13 ~ 1999-08-31 |
| Robert G Graham | 72a Long Pond Rd S, Ledyard, CT 06339 | Physician/surgeon | 2008-06-13 ~ 2009-08-31 |
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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).