JOHN PATRICK DOCHERTY MD (Credential# 541541) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
JOHN PATRICK DOCHERTY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015568. The credential type is physician/surgeon. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 21 Bloomingdale Road, White Plains, NY 10605. The current status is inactive.
| Licensee Name | JOHN PATRICK DOCHERTY MD |
| Credential ID | 541541 |
| Credential Number | 1.015568 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Bloomingdale Road White Plains NY 10605 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-05-22 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2018-09-30 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 226962 | CSP.0029200 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 21 BLOOMINGDALE ROAD |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bindu R Shanmugham | 21 Bloomingdale Road, White Plains, NY 10605 | Physician/surgeon | 2005-11-16 ~ 2006-10-31 |
| Sibel Akyol Klimstra Md | 21 Bloomingdale Road, White Plains, NY 10605 | Physician/surgeon | 2001-02-20 ~ 2002-04-30 |
| Nitin Gogate Md | 21 Bloomingdale Road, White Plains, NY 10605 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Nitin Gogate | 21 Bloomingdale Road, White Plains, NY 10605 | Physician/surgeon | 1999-12-01 ~ 2000-12-31 |
| Aurora A Dogaru | 21 Bloomingdale Road, White Plains, NY 10605 | Physician/surgeon | ~ 1997-04-30 |
| Dominic J Ferro | 21 Bloomingdale Road, White Plains, NY 10605 | Controlled Substance Registration for Practitioner | 1994-06-21 ~ 1995-09-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsook Kim | 5 Old Mamaroneck Rd, White Plains, NY 10605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Joseph J Tartaglia Md | 311 North Street, White Plains, NY 10605 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christine L Carre | 45 Hazelton Drive, White Plains, NY 10605 | Licensed Clinical Social Worker | 2013-03-01 ~ 2014-02-28 |
| Jacob J Goldberg | 184 Davis Ave, White Plains, NY 10605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark Rosenstein | 7 Murchison Place, White Plains, NY 10605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joseph R Carcione Jr | 11 Carriage Way, White Plains, NY 10605 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lauren Marie Dooley | 36 Greenridge Ave, White Plains, NY 10605 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Angela M Downey | 101 Old Mamaroneck Road, White Plains, NY 10605 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emily Pietrangelo | 24 Partridge Road, White Plains, NY 10605 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Hiroko Aguisky | 31 Greenridge Avenue, White Plains, NY 10605 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Find all Licenses in zip 10605 | |||
| City | WHITE PLAINS |
| Zip Code | 10605 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WHITE PLAINS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Docherty | 895 Van Hoesen Rd, Castleton On Hudson, NY 12033-1548 | Pharmacist | ~ |
| John E Docherty | 206 Forest Rd, West Haven, CT 06516 | Notary Public Appointment | 1984-04-11 ~ 1989-03-31 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Patrick J Prepetit | 67 Franklin Ave # 2, Harrison, NY 10528-3542 | Physician/surgeon | ~ |
| Patrick J Greene | 50 Glenbrook Rd, Stamford, CT 06902 | Physician/surgeon | 1994-06-23 ~ 1995-04-30 |
| Patrick G Cudahy | 20 York St., New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patrick J Cahill Do | 999 Summer St Ste 401, Stamford, CT 06905-5546 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Patrick H Mcnulty | 333 Cedar St 3-fmp, New Haven, CT 06520-8017 | Physician/surgeon | 1999-09-21 ~ 2000-10-31 |
| Audrice Francois | 19 W 224 Patrick, Oak Brook, IL 60521 | Physician/surgeon | 1998-01-26 ~ 1999-01-31 |
| Patrick J Carolan | 88 Stonewall Ln, Fairfield, CT 06824-7809 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).