ANDREAS W BUB
Resident Physician


Address: 19 Woodside Ln, Westport, CT 06880-2322

ANDREAS W BUB (Credential# 2033297) 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, 2023. The license status is ACTIVE.

Business Overview

ANDREAS W BUB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065139-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 19 Woodside Ln, Westport, CT 06880-2322. The current status is active.

Basic Information

Licensee Name ANDREAS W BUB
Credential ID 2033297
Credential Number 1.065139-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 19 Woodside Ln
Westport
CT 06880-2322
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-07-01
Effective Date 2020-07-01
Expiration Date 2023-06-30
Refresh Date 2020-04-03

Other licenses

ID Credential Code Credential Type Issue Term Status
2034397 CSP.0073572 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-04-08 2020-04-08 - 2021-02-28 ACTIVE
1192156 70.019813 Emergency Medical Technician 2015-10-27 2015-10-27 - 2018-06-30 INACTIVE

Office Location

Street Address 19 WOODSIDE LN
City WESTPORT
State CT
Zip Code 06880-2322

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Earthplace Inc 10 Woodside Ln, Westport, CT 06880-2322 Public Charity 2020-06-01 ~ 2021-05-31
Rona B Wall 15 Woodside Ln, Westport, CT 06880-2322 Licensed Clinical Social Worker 2019-07-01 ~ 2020-06-30
Erika M Panciera 5a Woodside Ln, Westport, CT 06880-2322 Registered Nurse 2012-10-01 ~ 2013-09-30
Earthplace Preschool 10 Woodside Ln, Westport, CT 06880-2322 Child Care Center 2017-06-01 ~ 2021-05-31
Earthplace Summer Camp 10 Woodside Ln, Westport, CT 06880-2322 Youth Camp 2015-06-01 ~ 2016-05-31
Anthony T Mcdowell · Earthplace 10 Woodside Ln, Westport, CT 06880-2322 Manufacturer Cider-liquor ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Toni L Bucker 4 Wild Rose Rd, Westport, CT 06880 Registered Nurse 2020-07-01 ~ 2021-06-30
Jee Hyun Kim 1 Allen Lane, Westport, CT 06880 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-26 ~ 2021-07-31
Donna Vaccarella 15 Keyser Rd, Westport, CT 06880 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Sandra Gibson 12 Bayberry Ln, Westport, CT 06880 Registered Nurse 2020-08-01 ~ 2021-07-31
Adil Salam Md 44 Crawford Rd, Westport, CT 06880 Physician/surgeon 2020-07-01 ~ 2021-06-30
Joanne C Sosnoski 24 Hawatha Lane, Westport, CT 06880 Dental Hygienist 2020-08-01 ~ 2021-07-31
Rachel Lynn 495 Post Rd East, Westport, CT 06880 Eyelash Technician ~
Beginnings: An Infant/toddler Program 71 Hillandale Road, Westport, CT 06880 Group Child Care Home 2018-01-01 ~ 2021-12-31
Shelley S Ross 28 Old Hill Farms Rd, Westport, CT 06880 Dietitian/nutritionist 2020-08-01 ~ 2021-07-31
Robert W Van Summern 279 Wilton Rd, Westport, CT 06880 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06880

Competitor

Search similar business entities

City WESTPORT
Zip Code 06880
License Type Resident Physician
License Type + County Resident Physician + WESTPORT

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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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