BETTY A WARD MD (Credential# 541811) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.
BETTY A WARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016194. The credential type is physician/surgeon. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is 85 River Edge Farms Rd, Madison, CT 06443. The current status is inactive.
Licensee Name | BETTY A WARD MD |
Credential ID | 541811 |
Credential Number | 1.016194 |
Credential Type | Physician/Surgeon |
Business Address |
85 River Edge Farms Rd Madison CT 06443 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1973-07-24 |
Effective Date | 2013-10-01 |
Expiration Date | 2014-09-30 |
Refresh Date | 2015-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
153498 | CSP.0002460 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 85 RIVER EDGE FARMS RD |
City | MADISON |
State | CT |
Zip Code | 06443 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06443 |
City | MADISON |
Zip Code | 06443 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MADISON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Betty Klein Md | 57 North St, Danbury, CT 06810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Betty J Haywood Md | 705 Nw 144th St, Edmond, OK 73013 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Betty Jane Phillips | 525 Colonial Rd, Guilford, CT 06437 | Physician/surgeon | 1999-11-01 ~ 2000-11-30 |
Betty J Hannon | 362 Farmholme Road, Stonington, CT 06378 | Physician/surgeon | 2009-02-10 ~ 2010-02-28 |
Betty P Tan | 1777 Congress Street, Fairfield, CT 06824-2200 | Physician/surgeon | 2006-07-24 ~ 2007-09-30 |
Betty Benjamin | 80 Guion Place #8 W, New Rochelle, NY 10801 | Physician/surgeon | ~ 2000-05-31 |
Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
Betty B Yang | 6 Fulton Place, West Hartford, CT 06107 | Physician/surgeon | 1997-10-01 ~ 1998-10-31 |
Jason A Remick | 6 Ward Ave, Audubon, NJ 08106-1918 | Physician/surgeon | ~ |
Sheila M Ward | 504 Beacon St, Boston, MA 02115-1042 | Physician/surgeon | 1984-09-17 ~ 1986-05-31 |
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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).