DOUGLAS STEPHEN DRUMSTA (Credential# 1376237) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
DOUGLAS STEPHEN DRUMSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055957. The credential type is physician/surgeon. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 199 Park Club Lane Suite 300, Williamsville, NY 14221. The current status is inactive.
Licensee Name | DOUGLAS STEPHEN DRUMSTA |
Credential ID | 1376237 |
Credential Number | 1.055957 |
Credential Type | Physician/Surgeon |
Business Address |
199 Park Club Lane Suite 300 Williamsville NY 14221 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2016-11-29 |
Effective Date | 2018-02-01 |
Expiration Date | 2019-01-31 |
Refresh Date | 2019-05-06 |
Street Address | 199 Park Club Lane Suite 300 |
City | Williamsville |
State | NY |
Zip Code | 14221 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keyur Suryakant Shah | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
Jonathan Terry Marshall | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Michael Frank Tabone | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Charles James Lesh | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Jason Robert Pericak | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
Anthony Robert Mangano | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
Phillip Adam Baum | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
Andrew Terrell Dunn | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
Thomas Anthony Lostracco | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
Kenneth Daniel Pearsen | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marc C Mussachio | 30 N Forest Rd, Williamsville, NY 14221 | Architect | 2020-08-01 ~ 2021-07-31 |
Kathleen A Swann | 2330 Maple Rd, Williamsville, NY 14221 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Asher B Blum | 163 Viscount Dr, Williamsville, NY 14221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David R Ludwig | 75 Farmington Road, Williamsville, NY 14221 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Andrew V Terragnoli | 205 Maple Rd, Williamsville, NY 14221 | Professional Engineer | 2020-02-24 ~ 2021-01-31 |
Adrian A Forzani II | 158 Brushcreek Rd, Williamsville, NY 14221 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Yasser M Heakal | 70 Glendon Pl, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Neiman Funds | 6631 Main Street, Williamsville, NY 14221 | Investment Company - Open End | 2019-12-31 ~ 2020-12-31 |
Shelina Siu | 84 Sandhurst Ct, Williamsville, NY 14221 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Satish B Mohan · Progressive Builders | 126 Viscount Dr, Williamsville, NY 14221 | Home Improvement Contractor | 2018-09-20 ~ 2019-11-30 |
Find all Licenses in zip 14221 |
City | Williamsville |
Zip Code | 14221 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Williamsville |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Douglas R Whipple Md | 30 Wildwood Dr, Avon, CT 06001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Douglas Dechairo | 910 E Ohio Ave Ste 103, Escondido, CA 92025-3439 | Physician/surgeon | 1972-09-20 ~ 1983-02-28 |
Douglas A Ballan | 145 Connetquot Dr, Oakdale, NY 11769-1902 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
Douglas K Hyde | 86 Blueberry Hl Rd, Longmeadow, MA 01106 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas A Rofrano Md | 279 Oakville Ave Apt 9a, Waterbury, CT 06708 | Physician/surgeon | 2005-09-26 ~ 2006-06-30 |
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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).