GEOFFREY ETHERINGTON II (Credential# 543091) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
GEOFFREY ETHERINGTON II is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019586. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 302 Route 81, Killingworth, CT 06419. The current status is active.
Licensee Name | GEOFFREY ETHERINGTON II |
Credential ID | 543091 |
Credential Number | 1.019586 |
Credential Type | Physician/Surgeon |
Business Address |
302 Route 81 Killingworth CT 06419 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1977-09-26 |
Effective Date | 2020-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2019-10-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
146511 | CSP.0007975 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-11-11 - 2019-02-28 | LAPSED |
Street Address | 302 ROUTE 81 |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Geoffrey M Murrish | P.o Box #320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
Ian Geoffrey Wittman | 301 E 17th St, New York, NY 10003 | Physician/surgeon | 2018-02-16 ~ 2019-02-28 |
Geoffrey A Allen | 145 Cottage St B-1, New Haven, CT 06511 | Physician/surgeon | 1996-08-23 ~ 1997-08-31 |
Geoffrey A Agrons | 23 Norwood Ave, Kensington, CA 94707 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
Geoffrey W Ndeto | 36 Franklin Avenue, Rosemont, PA 19010 | Physician/surgeon | ~ 1995-09-30 |
Geoffrey C Achonu | 30 Davenport Avenue, New Rochelle, NY 10805 | Physician/surgeon | 2004-02-02 ~ 2005-01-31 |
Geoffrey M Mukwaya | 15 Fawnwood Rd, Sandy Hook, CT 06482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Geoffrey H Hammond | Post Office Box 695, Danville, CA 94526 | Physician/surgeon | 1997-06-06 ~ 1998-05-31 |
Geoffrey R Kaump | 7 Warner Rd, North Haven, CT 06473-3532 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Geoffrey H Gordon Md | 15700 Nw Norwich Street, Beaverton, OR 97006 | Physician/surgeon | 2002-03-19 ~ 2003-05-31 |
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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).