JOHN BOOSS MD (Credential# 541135) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JOHN BOOSS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014510. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 88 Lacey Rd, Bethany, CT 06524-3021. The current status is active.
| Licensee Name | JOHN BOOSS MD |
| Credential ID | 541135 |
| Credential Number | 1.014510 |
| Credential Type | Physician/Surgeon |
| Business Address |
88 Lacey Rd Bethany CT 06524-3021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1970-07-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151977 | CSP.0003599 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-03-01 - 2018-02-21 | RETIRED |
| Street Address | 88 LACEY RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ann Booss | 88 Lacey Rd, Bethany, CT 06524 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annette M Snow · Annette Paskiewicz | 54 Lacey Rd, Bethany, CT 06524-3021 | Dietitian/nutritionist | 2019-11-01 ~ 2020-10-31 |
| Erica L Di Leo | 41 Lacey Rd, Bethany, CT 06524-3021 | Emergency Medical Technician | 2013-04-23 ~ 2016-01-01 |
| Victoria M Sullivan | 93 Lacey Rd, Bethany, CT 06524-3021 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine M Ford · Porto | 78 Tuttle Court, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Erin Mcknight | 24 Timber Ln, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cheryl A Bevvino | 106 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Catherine Geloso | 19 Amadeo Drive, Bethany, CT 06524 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Patricia Burke | 12 Miller Rd, Bethany, CT 06524 | Veterinarian | 2020-09-01 ~ 2021-08-31 |
| Complete Excavating Services LLC | 674 Amity Rd, Bethany, CT 06524 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
| Brian K Coutermarsh | 32 Emerald Lane, Bethany, CT 06524 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Michelle L Amato | 172 Russell Rd, Bethany, CT 06524 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Joseph L Colaci | 57 Edwards Road, Bethany, CT 06524 | Nursing Home Administrator | 2020-05-01 ~ 2022-04-30 |
| Karen C Praskievicz | 85 Sperry Rd, Bethany, CT 06524 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06524 | |||
| City | BETHANY |
| Zip Code | 06524 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BETHANY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ann Booss | 88 Lacey Rd, Bethany, CT 06524 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| 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 G Gittzus Md | Po Box 796, Plymouth, NH 03264-0796 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| John J Roh | 12 Little Brook Ln, Weston, CT 06883-2233 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| John M De Figueiredo | Cheshire, CT 06410 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| John S Marr | 22 Lia Fail Way, Cos Cob, CT 06807 | Physician/surgeon | 2003-07-24 ~ 2004-04-30 |
| John C Daniels | Po Box 788, Pawling, NY 12564 | Physician/surgeon | 1999-05-06 ~ 2000-05-31 |
| John W Thompson | Rr1 Box 699, Kennebunkport, ME 04046 | Physician/surgeon | 1993-02-25 ~ 1993-10-31 |
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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).