DAVID A BOWERS MD (Credential# 557837) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
DAVID A BOWERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040254. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095. The current status is inactive.
| Licensee Name | DAVID A BOWERS MD |
| Credential ID | 557837 |
| Credential Number | 1.040254 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Masonic Ave Ste 2100 Wallingford CT 06492-3095 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-03-20 |
| Effective Date | 2012-04-01 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2013-07-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 924290 | CSP.0047505 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-23 | 2011-03-01 - 2013-02-28 | INACTIVE |
| 309801 | CSP.0032254 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-27 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 67 MASONIC AVE STE 2100 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin E Schuster | 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Gregory B. Park | 67 Masonic Ave Ste 2100, Wallingford, CT 06492-3095 | Physician/surgeon | 2010-06-07 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Huang Md | 67 Masonic Ave Ste 3100, Wallingford, CT 06492-3095 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Marcel L Green | 67 Masonic Ave Ste 2400, Wallingford, CT 06492-3095 | Chiropractor | 2020-04-01 ~ 2021-03-31 |
| Jackson P Maille Md | 67 Masonic Ave, Wallingford, CT 06492-3095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ahmad Haghighat | 115 Gay Bowers Rd, Fairfield, CT 06430 | Physician/surgeon | 2000-04-13 ~ 2001-04-30 |
| Susan Bowers Md | 47 Bellevue Rd, New Haven, CT 06511 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Peter N Bowers Md | 27 Marshall Ave, Guilford, CT 06437-3516 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Stephen M Bowers | 814 Valentine Dr., Durango, CO 81301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| George N Bowers Jr | 275 Steele Rd, West Hartford, CT 06117-2765 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Malcolm B Bowers Jr | 300 George Street, New Haven, CT 06511 | Physician/surgeon | 2007-09-24 ~ 2008-09-30 |
| Michael G Bowers | 6084 Marcus Way, Farmington, NY 14425315 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| David K Bowers | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Stephanie P Bowers | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gene Bowers · Bowers Painting Service | 103 Morning Mist Rd, Naugatuck, CT 06770 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Please comment or provide details below to improve the information on DAVID A BOWERS MD.
| 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).