DOUGLAS E HERTFORD MD (Credential# 556861) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 6, 2020. The license expiration date date is August 31, 2020. The license status is ACTIVE.
DOUGLAS E HERTFORD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039275. The credential type is physician/surgeon. The effective date is February 6, 2020. The expiration date is August 31, 2020. The business address is 19 Cattle Pen Ln, Ridgefield, CT 06877-5829. The current status is active.
| Licensee Name | DOUGLAS E HERTFORD MD |
| Credential ID | 556861 |
| Credential Number | 1.039275 |
| Credential Type | Physician/Surgeon |
| Business Address |
19 Cattle Pen Ln Ridgefield CT 06877-5829 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-02-02 |
| Effective Date | 2020-02-06 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 264619 | CSP.0030586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 19 CATTLE PEN LN |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-5829 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Douglas R Porter | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
| Douglas A Ballan | 145 Connetquot Dr, Oakdale, NY 11769-1902 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
| Cyle Douglas Rogotzke | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Douglas J Anderson | 8 Jesse Ct, Montville, NJ 07045-9016 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Douglas Macgregor | 82 Lydias Ln, Lamoine, ME 04605-4582 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Douglas K Hyde | 86 Blueberry Hl Rd, Longmeadow, MA 01106 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Douglas M Griswold | 150 Mansfield Ave, Willimantic, CT 06226 | Physician/surgeon | 1992-10-23 ~ 1993-12-31 |
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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).