JEFFREY P CULLEN (Credential# 557871) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
JEFFREY P CULLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040288. The credential type is physician/surgeon. The effective date is March 29, 2004. The expiration date is April 30, 2005. The business address is 128 Circle Ridge Drive, Burr Ridge, IL 60527. The current status is inactive.
Licensee Name | JEFFREY P CULLEN |
Credential ID | 557871 |
Credential Number | 1.040288 |
Credential Type | Physician/Surgeon |
Business Address |
128 Circle Ridge Drive Burr Ridge IL 60527 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-04-01 |
Effective Date | 2004-03-29 |
Expiration Date | 2005-04-30 |
Refresh Date | 2009-07-08 |
Street Address | 128 Circle Ridge Drive |
City | Burr Ridge |
State | IL |
Zip Code | 60527 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
King Koil Licensing Company Inc | 7501 S. Quincy Street., #130, Willowbrook, IL 60527 | Manufacturer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
Izona Bock | 901 Mcclintock Drive, Burr Ridge, IL 60527 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
James Woznicki | 16 W 509 Timberlake, Willowbrook, IL 60527 | Pharmacist | 2012-06-07 ~ 2014-01-31 |
Sangamanayakker Balakrishnan | 6701 Sheffield Ln, Willow Brook, IL 60527 | Professional Engineer | 2012-04-11 ~ 2013-01-31 |
Lavanya R Chekuri | 6813 Fieldstone Drive, Burr Ridge, IL 60527 | Physician/surgeon | 2009-03-19 ~ 2010-04-30 |
Gail E Fontana | 7215 Birchwood Ct, Willowbrook, IL 60527 | Registered Nurse | 2004-10-12 ~ 2005-10-31 |
Shamsi A Darki | 32 Deer Path Trail, Burr Ridge, IL 60527 | Registered Nurse | 2006-06-26 ~ 2007-03-31 |
Charles A Reyer | 508 W. 65th Street, Willowbrook, IL 60527 | Veterinarian | 2005-11-25 ~ 2007-01-31 |
John I Wrzesinski | 130 Kraml Dr, Burr Ridge, IL 60527-0303 | Temporary Certified General Real Estate Appraiser | 2011-06-16 ~ 2011-12-16 |
Heartland Home Infusions Inc | 901 Mcclintock Dr Ste 106, Burr Ridge, IL 60527-0872 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Find all Licenses in zip 60527 |
City | Burr Ridge |
Zip Code | 60527 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Burr Ridge |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
William E Evans Jr | 15 Cullen Way, Exeter, NH 03833-4309 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Cullen F Shipman | 27 Madison Circle, Greenfield, MA 01301 | Physician/surgeon | 2008-05-21 ~ 2009-06-30 |
James R Cullen | 581 Hall Hill Rd, Somers, CT 06071 | Physician/surgeon | 1995-04-05 ~ 1996-06-30 |
Chester F Cullen Md | 27 Fernwood Rd, West Hartford, CT 06119 | Physician/surgeon | 2005-11-22 ~ 2006-12-31 |
Ethany L Cullen | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
Sarah V Cullen | 48 Forest Drive, Mount Kisco, NY 10549 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Cullen Griffith | 82 South Gate Lane, Southport, CT 06890 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Francis J Cullen | 4217 Ironwood Court, Wichita, KS 67226 | Physician/surgeon | ~ 1995-04-30 |
Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
Susan E Cullen · Cullen | 159 Murray Street, Meriden, CT 06450 | Respiratory Care Practitioner | 2020-04-01 ~ 2021-03-31 |
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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).