WILLEM ROOSEN MD (Credential# 540336) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 16, 2007. The license expiration date date is January 31, 2009. The license status is INACTIVE.
WILLEM ROOSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012425. The credential type is physician/surgeon. The effective date is November 16, 2007. The expiration date is January 31, 2009. The business address is 125 Harbor Rd, Westport, CT 06880. The current status is inactive.
Licensee Name | WILLEM ROOSEN MD |
Credential ID | 540336 |
Credential Number | 1.012425 |
Credential Type | Physician/Surgeon |
Business Address |
125 Harbor Rd Westport CT 06880 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1965-12-08 |
Effective Date | 2007-11-16 |
Expiration Date | 2009-01-31 |
Refresh Date | 2009-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
151127 | CSP.0002103 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
Street Address | 125 HARBOR RD |
City | WESTPORT |
State | CT |
Zip Code | 06880 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Willem The Silent Principaute D' Orange Red Wine France | CT | Liquor Brand Label | 2019-05-31 ~ 2022-05-30 |
Werner W Roosen | Wolf Pit Road, Farmington, CT 06032 | Notary Public Appointment | 1956-03-01 ~ 1961-03-31 |
Willem R Stegeman | 10361, Tampa, FL 33626 | Physical Therapist | 2003-06-12 ~ 2004-07-31 |
Willem P. Schuddeboom | 6 Thomasina Ln, Darien, CT 06820-5235 | Emergency Medical Responder | 2018-08-21 ~ 2021-04-01 |
Willem Vandun | 4561 N Oraibi Pl, Tucson, AZ 85749 | Physical Therapist | 1994-11-14 ~ 1995-12-31 |
Willem Post · Burns & Roe Inc | C/o Rs Hannevig 5 Deepwood Ln, Norwalk, CT 06854 | Professional Engineer | 1989-02-01 ~ 1990-01-31 |
Benjamin Willem Deruyter | 9 Wyngate, Simsbury, CT 06070 | Real Estate Salesperson | 2007-10-05 ~ 2008-05-31 |
Willem F Sandberg | 47 Pear Tree Point Rd, Darien, CT 06820-5819 | Advanced Emergency Medical Technician | 2014-08-29 ~ 2016-04-01 |
Willem H Plinck · Old Dutch Liquor | 269 Hanover St, Meriden, CT 06450 | Package Store Liquor | 2000-07-02 ~ 2001-07-01 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).