PHILIP D WILLIAMS MD (Credential# 564859) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
PHILIP D WILLIAMS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047277. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 300 George St Ste 901, New Haven, CT 06511-6662. The current status is inactive.
| Licensee Name | PHILIP D WILLIAMS MD |
| Credential ID | 564859 |
| Credential Number | 1.047277 |
| Credential Type | Physician/Surgeon |
| Business Address |
300 George St Ste 901 New Haven CT 06511-6662 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-01-05 |
| Effective Date | 2012-06-01 |
| Expiration Date | 2013-05-31 |
| Refresh Date | 2013-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 990214 | CSP.0049845 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-25 | 2011-03-25 - 2013-02-28 | INACTIVE |
| Street Address | 300 GEORGE ST STE 901 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Abdallah | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Sandhira Wijayaratne | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Dervin Cunningham | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Ashley Moreno | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eliza Decroce-movson | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Patricia Ekwueme | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Bradford Martins | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eli Neustadter | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel L Wurmser | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ebony Dix | 1450 Chapel Street, New Haven, CT 06511-6662 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Luming Li | 184 Liberty St, New Haven, CT 06511-6662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ish P Bhalla | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip B Jensen | Po Box 606, Lincoln, MA 01773-0606 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Philip M Meyers | 710 W 168th St Rm 428, New York, NY 10032-3726 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
| Philip I Weisinger | 100 York St, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Philip J Moorad | 69 Lexington St, New Britain, CT 06052 | Physician/surgeon | 1996-09-17 ~ 1997-08-31 |
| Philip A Brown | Rr1 Box 173a, Tunbridge, VT 05077 | Physician/surgeon | 1994-04-12 ~ 1995-04-30 |
| Philip T Ho Md | 685 Kellogg Ave, Palo Alto, CA 94301 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Philip Kotch | 9 Declaration Rd, Southbury, CT 06488-3012 | Physician/surgeon | 2019-09-09 ~ 2020-10-31 |
| Philip Bilello | 81 Main St #11 B, Branford, CT 06405 | Physician/surgeon | 1981-01-01 ~ 1993-12-31 |
| Philip T Peverada | P.o. Box 185, Glen Cove, ME 04846 | Physician/surgeon | ~ 1994-12-31 |
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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).