DOUGLAS W WOOLARD MD (Credential# 561943) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2013. The license expiration date date is January 31, 2014. The license status is INACTIVE.
DOUGLAS W WOOLARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044361. The credential type is physician/surgeon. The effective date is February 1, 2013. The expiration date is January 31, 2014. The business address is 792 Roslyn Road, Winston-salem, NC 27104. The current status is inactive.
| Licensee Name | DOUGLAS W WOOLARD MD |
| Credential ID | 561943 |
| Credential Number | 1.044361 |
| Credential Type | Physician/Surgeon |
| Business Address |
792 Roslyn Road Winston-salem NC 27104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - PRIOR DISCIPLINE |
| Issue Date | 2006-05-15 |
| Effective Date | 2013-02-01 |
| Expiration Date | 2014-01-31 |
| Refresh Date | 2014-12-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 441834 | CSP.0039370 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-21 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 792 Roslyn Road |
| City | Winston-Salem |
| State | NC |
| Zip Code | 27104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Teri Ann Learned | 4030 Dresden Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Arie Mantin | 1028 Greenhurst Rd, Winston Salem, NC 27104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna M Miller | 1025 Turtlerock Lane, Winston Salem, NC 27104 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Terresa A Long | 646 Balfour Road, Winston Salem, NC 27104 | Advanced Practice Registered Nurse | 2015-09-16 ~ 2016-09-30 |
| James T Brown · Bahnson Service Company | 268 Stanaford Rd, Winston-salem, NC 27104 | Professional Engineer | 1987-01-29 ~ 1988-01-31 |
| Dsa Group of Nc Inc | 1277 Kent Place Ln, Winston Salem, NC 27104 | Professional Engineer | 1989-03-16 ~ 1990-01-31 |
| Frederick W Kremkau | 5104 Huntcliff Trail, Winston-salem, NC 27104 | Professional Engineer | 1989-02-09 ~ 1990-01-31 |
| Tuajuana A Durbin | 3818 Country Club Rd Apt H, Winston-salem, NC 27104 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Find all Licenses in zip 27104 | |||
| City | Winston-Salem |
| Zip Code | 27104 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Winston-Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Woolard-raczka · Woolard | 935 Chamberlain Hill Rd, Middletown, CT 06457-5546 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Christina T Arbogast Woolard | 8492 Paw Paw Springs Rd, Smyrna, TN 37167-6000 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Herbert J Douglas | 490 Riverside Dr, Cheshire, CT 06410 | Physician/surgeon | 1988-06-23 ~ 1989-05-31 |
| Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
| Douglas B Bober | 603 Countryside Pl Se, Smyrna, GA 30080-8238 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Douglas Macgregor | 82 Lydias Ln, Lamoine, ME 04605-4582 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Douglas G Walled | 100 Luquer St, Brooklyn, NY 11231 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Douglas E Hertford Md | 19 Cattle Pen Ln, Ridgefield, CT 06877-5829 | Physician/surgeon | 2020-02-06 ~ 2020-08-31 |
| Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
Please comment or provide details below to improve the information on DOUGLAS W WOOLARD 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).