ANDREA F DOUGLAS MD (Credential# 565362) 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.
ANDREA F DOUGLAS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047780. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 75 Holly Hill Lane, Greenwich, CT 06830. The current status is active.
| Licensee Name | ANDREA F DOUGLAS MD |
| Credential ID | 565362 |
| Credential Number | 1.047780 |
| Credential Type | Physician/Surgeon |
| Business Address |
75 Holly Hill Lane Greenwich CT 06830 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-06-09 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 536443 | CSP.0045718 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-07-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 75 Holly Hill Lane |
| City | Greenwich |
| State | CT |
| Zip Code | 06830 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mercedes Airport Service, Inc. | 75 Holly Hill Lane, Greenwich, CT 06830 | Fha Motor Passenger Carrier Vehicle (z Plate) | 2019-04-01 ~ 2021-03-31 |
| Kind Loyal Service Rn Healthcare Services LLC | 75 Holly Hill Lane, Greenwich, NY 06830 | Homemaker Companion Agency | 2016-12-08 ~ 2017-10-31 |
| Stuart W Mccalley | 75 Holly Hill Lane, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Suzanne Alfieri | 75 Holly Hill Lane, Greenwich, CT 06830 | Real Estate Salesperson | 2006-06-26 ~ 2007-05-31 |
| Gregory Moran | 75 Holly Hill Lane, Greenwich, CT 06830 | Water Treatment Plant Operator - Class Iv | 2002-07-01 ~ 2005-06-30 |
| William J Mccormack | 75 Holly Hill Lane, Greenwich, CT 06830 | Distribution System Operator - Class IIi | 2002-07-01 ~ 2005-06-30 |
| Kevin Brennan | 75 Holly Hill Lane, Greenwich, CT 06830 | Water Treatment Plant Operator - Class Iv | 2000-07-01 ~ 2003-06-30 |
| Danielle S Jackson | 75 Holly Hill Lane, Greenwich, CT 06830 | Water Treatment Plant Operator - Class Iv | 2000-01-01 ~ 2002-12-31 |
| William Piciulli | 75 Holly Hill Lane, Greenwich, CT 06830 | Distribution System Operator - Class IIi | 2000-01-01 ~ 2002-12-31 |
| Wycliffe Gomes | 75 Holly Hill Lane, Greenwich, CT 06830 | Water Treatment Plant Operator - Limited | 1999-01-01 ~ 2001-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | Greenwich |
| Zip Code | 06830 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Greenwich |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas D'andrea Md | 209 Brace Rd, West Hartford, CT 06107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Andrea Vidali | 41 S 5th St Apt 11, Brooklyn, NY 11249-8417 | Physician/surgeon | ~ |
| Wen-ray T Hsu | 18 Andrea Lane, Scarsdale, NY 10583 | Physician/surgeon | 2007-12-19 ~ 2008-10-31 |
| Andrea C Lin | 9 N Gate Rd, Carmel, NY 10512-2213 | Physician/surgeon | 2010-09-09 ~ 2011-06-30 |
| Andrea J Needleman | 4 So Pomperaug Ave, Woodbury, CT 06798 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrea J Shaer | 118 Mattahasset Dr, Meriden, CT 06450 | Physician/surgeon | ~ 1996-10-31 |
| Andrea G Asnes | 324 Yale Ave, New Haven, CT 06515-2233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
| Andrea J Rock | 30 Lyon St # 3, New Haven, CT 06511-4926 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Andrea Schaffner | 147 Westbrook Rd, Essex, CT 06426-1512 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).