DAVID BUSHEY
Resident Physician


Address: 146 Springside Ave Unit C12, New Haven, CT 06515-1055

DAVID BUSHEY (Credential# 1491554) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

DAVID BUSHEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059289-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 146 Springside Ave Unit C12, New Haven, CT 06515-1055. The current status is active.

Basic Information

Licensee Name DAVID BUSHEY
Credential ID 1491554
Credential Number 1.059289-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 146 Springside Ave Unit C12
New Haven
CT 06515-1055
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-12
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1466970 CSP.0067227 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-02-13 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 146 SPRINGSIDE AVE UNIT C12
City NEW HAVEN
State CT
Zip Code 06515-1055

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Arthur L Sanders 2001 Chapel St, New Haven, CT 06515 Architect 2020-08-01 ~ 2021-07-31
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Jessica L Feinleib 72 Barnett, New Haven, CT 06515 Physician/surgeon 2020-04-01 ~ 2021-03-31
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Competitor

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City NEW HAVEN
Zip Code 06515
License Type Resident Physician
License Type + County Resident Physician + NEW HAVEN

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Dataset Information

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).

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