DOUGLAS A BURD MD (Credential# 558347) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 29, 2005. The license expiration date date is June 30, 2006. The license status is INACTIVE.
DOUGLAS A BURD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040764. The credential type is physician/surgeon. The effective date is April 29, 2005. The expiration date is June 30, 2006. The business address is 1900 Winston Rd Ste 500, Knoxville, TN 37919. The current status is inactive.
| Licensee Name | DOUGLAS A BURD MD |
| Credential ID | 558347 |
| Credential Number | 1.040764 |
| Credential Type | Physician/Surgeon |
| Business Address |
1900 Winston Rd Ste 500 Knoxville TN 37919 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-08-15 |
| Effective Date | 2005-04-29 |
| Expiration Date | 2006-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 318495 | CSP.0032611 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 1900 WINSTON RD STE 500 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dinah Burke | 8404 Badgett Rd, Knoxville, TN 37919 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Louis J Cortina | 299 North Weisgarber Road, Knoxville, TN 37919 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| James M Bishop | 3632 Woodland Dr, Knoxville, TN 37919 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Damon A Falconnier | 4622 Chambliss Avenue, Knoxville, TN 37919 | Architect | 2019-08-01 ~ 2020-07-31 |
| Richard T Bender | 5 Forest Court, Knoxville, TN 37919 | Professional Engineer | 2002-02-01 ~ 2003-01-31 |
| Daniel Phillip Farmer | 299 N Weisgarber Rd, Knoxville, TN 37919 | Architect | 2009-08-01 ~ 2010-07-31 |
| Jacquelyn F Estep | 2221 Delta Way, Knoxville, TN 37919 | Registered Nurse | 1998-06-22 ~ 1999-08-31 |
| Ann S Wheaton | 522 Mellen Road, Knoxville, TN 37919 | Registered Nurse | 2002-01-25 ~ 2003-01-31 |
| Peggy Watson | 900 Ilex Circle, Knoxville, TN 37919 | Registered Nurse | 1970-09-08 ~ 1972-10-31 |
| Piotr A Zieba | 7311 Cresthill Drive, Knoxville, TN 37919 | Physician/surgeon | 1994-03-07 ~ 1995-03-31 |
| Find all Licenses in zip 37919 | |||
| City | KNOXVILLE |
| Zip Code | 37919 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KNOXVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert M Burd | 425 Post Rd, Fairfield, CT 06824 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Patricia Burd Doyen · Burd | 1 Riverview Street, Essex, CT 06426 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
| Burd Building Company (the) | 8 Vista Dr, Old Lyme, CT 06371-1587 | Major Contractor | 2012-07-12 ~ 2013-06-30 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
| Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
| Douglas R Whipple Md | 30 Wildwood Dr, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Cyle Douglas Rogotzke | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
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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).