GEOFFREY ETHERINGTON II
Physician/surgeon


Address: 302 Route 81, Killingworth, CT 06419

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 302 ROUTE 81
City KILLINGWORTH
State CT
Zip Code 06419

Licenses in the same zip code

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

Competitor

Search similar business entities

City KILLINGWORTH
Zip Code 06419
License Type Physician/Surgeon
License Type + County Physician/Surgeon + KILLINGWORTH

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Dataset Information

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).

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