JEFFREY D O'NEILL (Credential# 1488727) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JEFFREY D O'NEILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058122-RES. The credential type is resident physician. The effective date is June 28, 2017. The expiration date is June 30, 2021. The business address is 23 Gloucester Ln, West Hartford, CT 06107-1615. The current status is active.
Licensee Name | JEFFREY D O'NEILL |
Credential ID | 1488727 |
Credential Number | 1.058122-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
23 Gloucester Ln West Hartford CT 06107-1615 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-06-28 |
Effective Date | 2017-06-28 |
Expiration Date | 2021-06-30 |
Refresh Date | 2018-05-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1424791 | CSP.0065455 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 23 GLOUCESTER LN |
City | WEST HARTFORD |
State | CT |
Zip Code | 06107-1615 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Judith D Mcgowan | 5 Gloucester Ln, West Hartford, CT 06107-1615 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Donna B Morrison | 9 Gloucester Ln, West Hartford, CT 06107-1615 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Karen J Martin | 19 Gloucester Ln, West Hartford, CT 06107-1615 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06107 |
City | WEST HARTFORD |
Zip Code | 06107 |
License Type | Resident Physician |
License Type + County | Resident Physician + WEST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James T O'neill IIi | 260 Cabin Rd, Colchester, CT 06415-1505 | Resident Physician | 2018-04-09 ~ 2018-05-06 |
Michael O'neill | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
Kathleen O'neill | Yale New Haven Hospital, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Jeffrey R Gehlhausen | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Jeffrey M Luk | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Resident Physician | 2017-07-10 ~ 2021-06-30 |
Jeffrey A Brown | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
Jeffrey M Iler | 20 York Street, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
Jared Jeffrey Woodward | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Jeffrey D Marshall | 1922 Chapel St Apt 3, New Haven, CT 06515-2211 | Resident Physician | 2015-06-24 ~ 2021-06-30 |
Jeffrey Aaron Glaser | 800 Howard Ave, New Haven, CT 06519-1369 | Resident Physician | 2019-07-17 ~ 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).