SHIRLEY Y. WILLIAMS (Credential# 540389) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2010. The license status is PENDING.
SHIRLEY Y. WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.012555. The credential type is physician/surgeon. The effective date is August 1, 2009. The expiration date is July 31, 2010. The business address is 5208 Colorado Ave Nw, Washington, DC 20011-3621. The current status is pending.
| Licensee Name | SHIRLEY Y. WILLIAMS |
| Credential ID | 540389 |
| Credential Number | 1.012555 |
| Credential Type | Physician/Surgeon |
| Business Address |
5208 Colorado Ave Nw Washington DC 20011-3621 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 1966-05-09 |
| Effective Date | 2009-08-01 |
| Expiration Date | 2010-07-31 |
| Refresh Date | 2010-11-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 150764 | CSP.0003281 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-12-08 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 5208 COLORADO AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-3621 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cierra Monet Coughlin | 400 Gallowat St Ne, Washington, DC 20011 | Registered Nurse | ~ |
| Shilpa K Nagaraj | 1227 Hamilton St. Nw, Washington, DC 20011 | Licensed Clinical Social Worker | 2018-09-01 ~ 2019-08-31 |
| Frances I Ayala | 6024 8th Street Nw, Washington, DC 20011 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Synfoni K Bailey-green | 608 Oneida St Ne, Washington, DC 20011 | Architect | 2019-08-01 ~ 2020-07-31 |
| David C Zimmerman | 4529 New Hampshire Ave Nw, Washington, DC 20011 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Angela L Johnson | 620 Jefferson St Ne, Washington, DC 20011 | Pharmacist | ~ |
| Jeffrey E Thompson | 322 Peabody Street Nw, Washington, DC 20011 | Certified Public Accountant Certificate | ~ |
| Alicia L Ellis | 4116 18th Street, Nw, Washington, DC 20011 | Registered Nurse | 2007-04-30 ~ 2008-04-30 |
| Prisca Adanna Anamelechi | 104 Varnum Street, Nw Washington, DC 20011 | Pharmacist | ~ |
| Loral Patchen | 15 Jefferson St, Washington, DC 20011 | Registered Nurse | 2014-09-01 ~ 2015-08-31 |
| Find all Licenses in zip 20011 | |||
| City | WASHINGTON |
| Zip Code | 20011 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WASHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley A Olsen | CT | Physician/surgeon | 1982-07-12 ~ 1985-07-31 |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
| Shirley A Jefferson | P.o. Box 98, Guilford, CT 06437 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Grant C. Shirley | 106 Hilldale Dr, Chattanooga, TN 37411-1805 | Physician/surgeon | ~ |
| Shirley Gresseau | 15 Regan Way, Germantown, NY 12526 | Physician/surgeon | ~ |
| Mohamed Pacha Hamdani | 25 Shirley St, Wilbraham, MA 01095-2033 | Physician/surgeon | ~ |
| Francis A Beer | 22 Shirley Rd, Waltham, MA 02154 | Physician/surgeon | 1993-01-25 ~ 1994-03-31 |
| Shirley Jankelevich | 74 Midwood Rd, Branford, CT 06405 | Physician/surgeon | 1994-04-28 ~ 1995-06-30 |
| Shirley A Huang | 2450 8th St., Boulder, CO 80304 | Physician/surgeon | 2009-03-04 ~ 2010-04-30 |
| Shirley M Madhere | 143-61 227th St, Springfield Gardens, NY 11413 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on SHIRLEY Y. WILLIAMS.
| 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).