JEFFREY HAWLEY MD (Credential# 557353) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
JEFFREY HAWLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039769. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 385 Main St S, Southbury, CT 06488-4228. The current status is active.
| Licensee Name | JEFFREY HAWLEY MD |
| Credential ID | 557353 |
| Credential Number | 1.039769 |
| Credential Type | Physician/Surgeon |
| Business Address |
385 Main St S Southbury CT 06488-4228 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-08-01 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 293808 | CSP.0031654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-12-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 385 MAIN ST S |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-4228 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thawatchai Boonyalai · Samui Thai Cusine | 385 Main St S, Southbury, CT 06488-4240 | Restaurant Wine & Beer | 2020-03-17 ~ 2021-06-17 |
| Michael C Trager | 385 Main St S, Southbury, CT 06488-4240 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gina Rupert | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carrie Kim Gomez | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nardelli Grinder Shoppe | 385 Main St S, Southbury, CT 06488-4240 | Operator of Weighing & Measuring Devices | 2019-09-19 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalia Smith-wallach · Grapes and Hops | 385 Main St S Bldg 4 Unit 402, Southbury, CT 06488-4228 | Package Store Liquor | 2010-10-29 ~ 2011-10-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafael Chiu Md | 160 Hawley Ln Ste 107, Trumbull, CT 06611-5379 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mark I Oestreicher | 160 Hawley La, Trumbull, CT 06611 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jeremy D Kaufman Md | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward B Paraiso II | 160 Hawley Ln, Trumbull, CT 06611-5300 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Marsel Huribal | 495 Hawley Ln Ste 2a, Stratford, CT 06614-1514 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Madhav N Deshmukh | 460 Hawley Avenue, Bridgeport, CT 06606 | Physician/surgeon | 1981-06-19 ~ 1982-04-30 |
| Richard Erwin Goldstein | 99 Hawley Lane, Stratford, CT 06614 | Physician/surgeon | ~ |
| Yaniv Chen | 99 Hawley Lane, Stratford, CT 06614 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edward A Pulice | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| John P Simses Jr | 160 Hawley Lane, Trumbull, CT 06611 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
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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).