DOUGLAS J VAN DER HEIDE (Credential# 550343) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2011. The license expiration date date is November 30, 2012. The license status is INACTIVE.
DOUGLAS J VAN DER HEIDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032743. The credential type is physician/surgeon. The effective date is December 1, 2011. The expiration date is November 30, 2012. The business address is 7 East 85 St, New York, NY 10028. The current status is inactive.
| Licensee Name | DOUGLAS J VAN DER HEIDE |
| Credential ID | 550343 |
| Credential Number | 1.032743 |
| Credential Type | Physician/Surgeon |
| Business Address |
7 East 85 St New York NY 10028 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1992-12-28 |
| Effective Date | 2011-12-01 |
| Expiration Date | 2012-11-30 |
| Refresh Date | 2013-03-06 |
| Street Address | 7 EAST 85 ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Doe Fund Inc (the) | 232 East 84th Street, New York, NY 10028 | Public Charity | 2020-05-31 ~ 2020-05-31 |
| Joanne Reed | 515 E 85 St, New York, NY 10028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexander Gunn | 205 East 85th Street #12cd, New York, NY 10028 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Philip Felig | 1056 Fifth Ave, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Elie Levine | 35 East 84th Street, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Olivia Z Hutchinson | 121a East 83rd Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barry Sender | 520 East 84th St, New York, NY 10028 | Optician | 2020-06-01 ~ 2021-05-31 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mark Graham Albert | 950 Park Avenue, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan C Casden | 185 East 85th Street, New York, NY 10028 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10028 | |||
| City | NEW YORK |
| Zip Code | 10028 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Carl Heide | 1768 Business Center Road, Reston, VA 20190 | Physician/surgeon | 2020-02-07 ~ 2021-02-28 |
| Heide Lea Kalra | 86b Howe St, New Haven, CT 06511-4623 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Douglas Duchen | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Herbert J Douglas | 490 Riverside Dr, Cheshire, CT 06410 | Physician/surgeon | 1988-06-23 ~ 1989-05-31 |
| Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
| Douglas Macgregor | 82 Lydias Ln, Lamoine, ME 04605-4582 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Jeromy Patterson | 4455 Douglas Ave, Bronx, NY 10471-3519 | Physician/surgeon | ~ |
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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).