TIMOTHY J BUCKLEY DO (Credential# 556403) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
TIMOTHY J BUCKLEY DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038815-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 415 Killingworth Rd, Higganum, CT 06441. The current status is active.
Licensee Name | TIMOTHY J BUCKLEY DO |
Credential ID | 556403 |
Credential Number | 1.038815-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
415 Killingworth Rd Higganum CT 06441 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2000-06-29 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
240593 | CSP.0029844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 415 KILLINGWORTH RD |
City | HIGGANUM |
State | CT |
Zip Code | 06441 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bennett & Smilas Associates Inc | 415 Killingworth Rd, Higganum, CT 06441-0241 | Land Surveyor Corporation | 2020-04-30 ~ 2021-04-29 |
Mario Amleto Md | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Keith E Campbell | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Michael J Bennett | 415 Killingworth Rd, Higganum, CT 06441-0241 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
Linda H Schroth Md | 415 Killingworth Rd, Higganum, CT 06441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert J Grasso | 44 Thorne Wood Road, Higganum, CT 06441 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Julie A Hajek | 364 Candlewood Hill Road, Higganum, CT 06441 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
Timothy L Brewer | 144 Dublin Hill Rd, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
Michael P Fortuna | 58 Killingworth Road, Higganum, CT 06441 | Architect | 2020-08-01 ~ 2021-07-31 |
Kelli S Botteon · Brown | 23 Depot Road, Higganum, CT 06441 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
David Wysocki | Po Box 743, Higganum, CT 06441 | Demolition Contractor | 2020-07-01 ~ 2021-06-30 |
Theresa M Beeman | 28 Teaberry Court, Higganum, CT 06441 | Dental Hygienist | 2020-09-01 ~ 2021-08-31 |
Ronald Hajek | 364 Candlewood Hill, Higganum, CT 06441 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
Heather M Herrington · Ridgeway | 186 Brainard Hill Rd, Higganum, CT 06441 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Brenda L Marinan | P O Box 605, Higganum, CT 06441 | Nursing Home Administrator | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06441 |
City | HIGGANUM |
Zip Code | 06441 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + HIGGANUM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lenore M Buckley | 300 Cedar St, New Haven, CT 06519-1612 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
Michael B Buckley Md | 1100 Baldwin St, Waterbury, CT 06706 | Physician/surgeon | 1997-12-22 ~ 1999-02-28 |
Donald F Buckley Md | 2070 Bridgeport Ave, Milford, CT 06460 | Physician/surgeon | 1999-02-01 ~ 2000-02-29 |
Patrick J Buckley | Dept of Pathology, New Haven, CT 06510 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
Thomas M Buckley | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Timothy C Abbott Jr | 244 State St, Granby, MA 01033-9417 | Physician/surgeon | ~ |
Timothy R Pal | 680 Lakeside Dr, Baldwin, NY 11510-3507 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Timothy Tan | 135 Perry St Apt 9, New York, NY 10014 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Timothy Q Desantis | 85 Viscount Dr, Milford, CT 06460 | Physician/surgeon | 1997-04-02 ~ 1998-05-31 |
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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).