DEBORAH A WHITEHEAD (Credential# 547796) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DEBORAH A WHITEHEAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029456. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 95 Long Hill Road, Middlefield, CT 06455. The current status is active.
| Licensee Name | DEBORAH A WHITEHEAD |
| Credential ID | 547796 |
| Credential Number | 1.029456 |
| Credential Type | Physician/Surgeon |
| Business Address |
95 Long Hill Road Middlefield CT 06455 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-09-09 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159130 | CSP.0017179 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 95 LONG HILL ROAD |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lawrence H Hennessy Md | 95 Long Hill Road, Middlefield, CT 06455 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Bekui Md | 17 Orchard Lane, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Millicent M Malcolm | 369 Baileyville Rd, Middlefield, CT 06455 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joanne Giardina | 28 Valley Heights Dr, Middlefield, CT 06455 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Adam E Perrin Md · Mhs Primary Care Incorporated | 400 Baileyville Road, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lyman Orchards Apple Barrel | Route 157, Middlefield, CT 06455 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Infinity Building LLC | 10 Levesque Rd, Middlefield, CT 06455 | Home Improvement Contractor | 2020-06-17 ~ 2020-11-30 |
| Mark Albin Dvm | Powder Ridge Vet Hospital, Middlefield, CT 06455 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Pamela M Branciforte | 115 Cherry Hill Rd, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan E Etheridge | 86 School Street, Middlefield, CT 06455 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Z Jan Wojas | 5 Race Track Hollow, Middlefield, CT 06455 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06455 | |||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David E Whitehead | 48 Notch Road, Bolton, CT 06043 | Physician/surgeon | 1994-01-03 ~ 1994-12-31 |
| Paul D Whitehead | 5050 Cottonwood Lane, Salt Lake City, UT 84117-7151 | Physician/surgeon | 2003-08-18 ~ 2004-05-31 |
| John P Whitehead · Whitehead Masonry | 80 Sass Dr, Manchester, CT 06042-2255 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Deborah Kendrick | 3 River Rd, Bronx, NY 10463-1015 | Physician/surgeon | ~ |
| Deborah S Golob | P O Box 232, Ellington, CT 06029 | Physician/surgeon | 2003-03-05 ~ 2004-03-31 |
| Deborah R Liss | Po Box 13588, Rtp, NC 27709 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Deborah S Hoffman | 20 Licata Ter, Cos Cob, CT 06807-1803 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Deborah A August | 52 Burgess Rd, Morris, CT 06763-1022 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Deborah J Carroll | 699 Route 9w S, Nyack, NY 10960-5011 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jill Deborah Landis | 30 Doris Ln, Mamaroneck, NY 10543-1000 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DEBORAH A WHITEHEAD.
| 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).