THERESA BOWLING MD (Credential# 552059) 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.
THERESA BOWLING MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034461. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Integrated Anesthesia Associates, Shelton, CT 06484. The current status is active.
| Licensee Name | THERESA BOWLING MD |
| Credential ID | 552059 |
| Credential Number | 1.034461 |
| Credential Type | Physician/Surgeon |
| Business Address |
Integrated Anesthesia Associates Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-05-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164128 | CSP.0023168 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Integrated Anesthesia Associates |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James Chi-shin Liu Md | Bowling Green Station, New York, NY 10274-1231 | Physician/surgeon | 1999-11-02 ~ 2000-10-31 |
| James F Riley · Hi Way Bowling Lanes | 982 Norwich Rd, Plainfield, CT 06374 | Bowling Establishment Liquor | 2010-12-08 ~ 2011-11-21 |
| Laurel Bowling Lane | 266 Main St, Winsted, CT 06098-1641 | Bowling Establishment Beer and Wine | 2019-10-24 ~ 2021-02-23 |
| Jeffrey Edelson · Berlin Bowling Center | 1782 Wilbur Cross Highway, Berlin, CT 06037 | Bowling Establishment Liquor | 2000-10-05 ~ 2001-10-04 |
| Reba M Miner · Norwich Tenpin Bowling | 188 West Town Street, Norwich, CT 06360 | Bowling Establishment Liquor | 2005-06-27 ~ 2006-06-26 |
| Theresa M Adams | 326 Washington St, Norwich, CT 06360-2740 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Theresa Tartarone | 31 Bernhard Dr, Weston, CT 06883 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Theresa M Gabana | 19b Onamog St, Marlborough, MA 01752 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
| Theresa Aquino | 20 River Tere, New York, NY 10282 | Physician/surgeon | 2009-02-12 ~ 2010-01-31 |
| Theresa M Soto | 8302 Swope Ct, Springfield, VA 22153 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).