CAROL C PILBEAM MD (Credential# 545714) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.
CAROL C PILBEAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025901. The credential type is physician/surgeon. The effective date is October 1, 2015. The expiration date is September 30, 2016. The business address is Uconn Health Center R00m N4051, Farmington, CT 06030-5456. The current status is inactive.
| Licensee Name | CAROL C PILBEAM MD |
| Credential ID | 545714 |
| Credential Number | 1.025901 |
| Credential Type | Physician/Surgeon |
| Business Address |
Uconn Health Center R00m N4051 Farmington CT 06030-5456 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-08-16 |
| Effective Date | 2015-10-01 |
| Expiration Date | 2016-09-30 |
| Refresh Date | 2017-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147307 | CSP.0012955 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-05-02 | 2013-03-09 - 2015-02-28 | INACTIVE |
| Street Address | UCONN HEALTH CENTER R00M N4051 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-5456 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carol A Westbrook | Po Box 444, Beverly Shores, IN 46301-0444 | Physician/surgeon | ~ |
| Carol H Lee | 326 Colonial Rd, Guilford, CT 06437 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carol A Ley | 3m Company, Saint Paul, MN 55144-0001 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Carol L Morrison | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Carol A Wheeler Md | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Carol L Kandall | 47 Canterbury Rd, Hamden, CT 06514-2016 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Carol Chung | 409 Ellsworth Ave, New Haven, CT 06511-7125 | Physician/surgeon | 1988-07-01 ~ 1989-09-30 |
| Carol R Reed | 36 Church Ln, Westport, CT 06880-3505 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Carol A Fucigna Md | 372 Danbury Rd, Wilton, CT 06897-2523 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Carol Meyers | 651 W. Hutchinson, Chicago, IL 60613 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Please comment or provide details below to improve the information on CAROL C PILBEAM MD.
| 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).