WILLIAM G FREDERICK (Credential# 548048) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
WILLIAM G FREDERICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029837. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 950 Campbell Ave, West Haven, CT 06516-2770. The current status is active.
| Licensee Name | WILLIAM G FREDERICK |
| Credential ID | 548048 |
| Credential Number | 1.029837 |
| Credential Type | Physician/Surgeon |
| Business Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-04-07 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158488 | CSP.0017993 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Zegarek | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Henry J Taylor Iv | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Brittany L Hervey | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Asim Farooq Durrani | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Shuba Rodrigues Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jitendranath Lakshmipathy Do | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura J Davis | 950 Campbell Ave # 240, West Haven, CT 06516-2770 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Elissa Mccarthy | 950 Campbell Ave Bldg 1, West Haven, CT 06516-2770 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Jeffrey H Kerner | West Haven Va Hospital, West Haven, CT 06516-2770 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Niyati Dhand | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-07-13 ~ 2019-02-28 |
| Kathleen L Broad | 950 Campbell Ave Rm 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Dana R. Saldaitis | 950 Campbell Ave Acsl 11, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip Chui | 950 Campbell Ave Bldg 35a, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gihyun Yoon | 950 Campbell Ave Bldg. 35 151d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roopa Sethi | 950 Campbell Ave # 151-d, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William Frederick · William Frederick Const | 302 Ann St, Meriden, CT 06450 | Home Improvement Contractor | 2003-12-01 ~ 2004-11-30 |
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
| Frederick Tan | 350 Timrod Rd, Manchester, CT 06040 | Physician/surgeon | 2000-10-04 ~ 2001-11-30 |
| Frederick L Altice Md | 135 College St Ste 323, New Haven, CT 06510-2483 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Frederick A Kayal | 300 Federal Rd, Brookfield, CT 06804 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Frederick L Thum | 161 W 75th St, New York, NY 10023 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Frederick C Barrett | 213 Scotland Rd, Norwich, CT 06360 | Physician/surgeon | 1995-05-11 ~ 1996-07-31 |
| Frederick Siefert | 8 West End Ave, Old Greenwich, CT 06870 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Frederick Ayers | 320 Robinson Ave & Rt. 9w, Newburgh, NJ 12550 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Frederick V Newsome | 15 Prince St, New Rochelle, NY 10801-3935 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Please comment or provide details below to improve the information on WILLIAM G FREDERICK.
| 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).