PHILLIP Y ROLAND MD (Credential# 564573) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PHILLIP Y ROLAND MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046991. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 22 Arrowwood Lane, Bloomfield, CT 06002. The current status is active.
Licensee Name | PHILLIP Y ROLAND MD |
Credential ID | 564573 |
Credential Number | 1.046991 |
Credential Type | Physician/Surgeon |
Business Address |
22 Arrowwood Lane Bloomfield CT 06002 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-09-19 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
521083 | CSP.0044928 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 22 Arrowwood Lane |
City | Bloomfield |
State | CT |
Zip Code | 06002 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa A Weisinger Md | 22 Arrowwood Lane, Bloomfield, CT 06002 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06002 |
City | Bloomfield |
Zip Code | 06002 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Bloomfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roland J Figueredo | P.o. Box 53, Gaylordsville, CT 06755-0053 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
Roland J Losos | 25 Plateau Rd, Westerly, RI 02891-3901 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
Roland E Baker | 78 Milton Ave., Sanford, ME 04073 | Physician/surgeon | 2007-06-13 ~ 2008-06-30 |
Romie E Roland | P.o. Box 42262, Altanta, GA 30311 | Physician/surgeon | ~ 1997-04-30 |
Phillip F Pierce Jr | 3 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Roland Foraste | 420 East 51st St, New York, NY 10022 | Physician/surgeon | 1999-09-30 ~ 2000-03-31 |
Steven A Lager | 10 Roland Dr, White Plains, NY 10605 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Roland Assi | 367 Orange Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Roland T. Phillips IIi | 11 Timber Trce, Ballston Spa, NY 12020-3721 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
Martin Phillip Kasofsky | Po Box 466, Stanfordville, NY 12581-0466 | Physician/surgeon | 1990-09-28 ~ 1992-02-29 |
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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).