WILLIAM J SLICHENMYER MD (Credential# 560064) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
WILLIAM J SLICHENMYER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042482. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 121 Bogastow Brook Rd., Sherborn, MA 01770. The current status is active.
| Licensee Name | WILLIAM J SLICHENMYER MD |
| Credential ID | 560064 |
| Credential Number | 1.042482 |
| Credential Type | Physician/Surgeon |
| Business Address |
121 Bogastow Brook Rd. Sherborn MA 01770 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-05-25 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 419088 | CSP.0038447 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-10-17 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 121 BOGASTOW BROOK RD. |
| City | SHERBORN |
| State | MA |
| Zip Code | 01770 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Lowder | 29 Eliot St, Sherborn, MA 01770 | Professional Engineer | 2019-12-03 ~ 2021-01-31 |
| Sreenivas Athuluri | 169 S Main St, Sherborn, MA 01770 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Daniel George Sunderland | 75 Lake Street, Sherborn, MA 01770 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Robert S Gatof | 6 Rockwood St, Sherborn, MA 01770 | Real Estate Broker | ~ |
| Eric J Peterson | 19 Greenwood Street, Sherborn, MA 01770 | Certified Public Accountant License | 1996-01-01 ~ 1996-12-31 |
| Mark A Knapp | 2 Meadowbrook Road, Sherborn, MA 01770 | Emergency Medical Technician | 2007-10-24 ~ 2009-10-01 |
| Marie Z Rice | 25 Mcgregor Drive, Sherborn, MA 01770 | Dental Hygienist | 1992-03-24 ~ 1993-02-28 |
| Timothy D Brown | 270 Washington St., Sherborn, MA 01770 | Physician/surgeon | 2007-12-27 ~ 2008-04-30 |
| Patricia A Narowski | 10 Townelyne Rd, Sherburn, MA 01770 | Pharmacist | 1996-02-01 ~ 1997-01-31 |
| Kevin B Cash | 32 Deerfield Rd, Sherborn, MA 01770 | Professional Engineer | 2006-02-01 ~ 2007-01-31 |
| Find all Licenses in zip 01770 | |||
| City | SHERBORN |
| Zip Code | 01770 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHERBORN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William High Md | 2910 Fannin St Ste B, Beaumont, TX 77701-3901 | Physician/surgeon | 2016-07-13 ~ 2017-01-31 |
| William G Cimino Md | William G. Cimino, Md, PC, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William H Truswell | CT | Physician/surgeon | 1973-08-07 ~ 1981-06-30 |
| William E Harding | 150 Middle St Apt 3i, Portland, ME 04101-4150 | Physician/surgeon | ~ |
| William L Gates Jr | Po Box 816, Cheshire, CT 06410 | Physician/surgeon | 1993-11-10 ~ 1994-10-31 |
| William L. Emerson | 3110 W End Cir Apt 1, Nashville, TN 37203-1124 | Physician/surgeon | ~ |
| William F Bahnson | Box 187, Greenfield, MA 01302 | Physician/surgeon | 1990-01-24 ~ 1990-08-28 |
| William S Wanago | 166 E 61 St #12f, New York, NY 10021 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| William T Hennessy | Po Box 325, Amagansett, NY 11930-0325 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| William G Richeimer | Old Lyme, CT 06371 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
Please comment or provide details below to improve the information on WILLIAM J SLICHENMYER 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).