PHILIP P PAUL (Credential# 1488270) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 26, 2017. The license expiration date date is July 4, 2021. The license status is ACTIVE.
PHILIP P PAUL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057686-RES. The credential type is resident physician. The effective date is June 26, 2017. The expiration date is July 4, 2021. The business address is 728 Long Hill Rd, Middletown, CT 06457-5014. The current status is active.
| Licensee Name | PHILIP P PAUL |
| Credential ID | 1488270 |
| Credential Number | 1.057686-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
728 Long Hill Rd Middletown CT 06457-5014 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-26 |
| Effective Date | 2017-06-26 |
| Expiration Date | 2021-07-04 |
| Refresh Date | 2018-02-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1441803 | CSP.0066557 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 728 LONG HILL RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5014 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A Miller | 734 Long Hill Rd, Middletown, CT 06457-5014 | Electrical Limited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| William E Davis IIi | 714 Long Hill Rd, Middletown, CT 06457-5014 | Tv & Radio Limited Dish Antenna Technician | 2012-06-01 ~ 2013-08-31 |
| Raymond D Burke Jr | 732 Long Hill Rd, Middletown, CT 06457-5014 | Tv & Radio Limited Dish Antenna Technician | 2012-11-09 ~ 2013-08-31 |
| Kelly S Worrell | 764 Long Hill Rd, Middletown, CT 06457-5014 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Pang Yi Kit | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2015-10-01 ~ 2020-06-30 |
| Anu Paul | 89 Florence Rd Unit 1a, Branford, CT 06405-4246 | Resident Physician | 2014-06-26 ~ 2019-06-30 |
| Paul Eigenberger | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Paul Stockhammer | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Philip N Krupka | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2018-06-28 ~ 2021-06-30 |
| John Paul Mikhaiel | 170 Lawrence St, New Haven, CT 06511-2417 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Paul Elliott Miller | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-07-05 ~ 2021-06-30 |
| Paul Novello | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2016-06-29 ~ 2020-06-30 |
| Paul Rodrigue | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| John Paul Lavik | 196 Crown St Apt 204, New Haven, CT 06510-2707 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
Please comment or provide details below to improve the information on PHILIP P PAUL.
| 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).