PATRICK DORVILUS MD (Credential# 431538) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
PATRICK DORVILUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038894. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 31 Fairwood Farms Dr, West Hartford, CT 06107-3502. The current status is inactive.
| Licensee Name | PATRICK DORVILUS MD |
| Credential ID | 431538 |
| Credential Number | CSP.0038894 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Fairwood Farms Dr West Hartford CT 06107-3502 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-03-14 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555528 | 1.037938 | Physician/Surgeon | 1999-07-16 | 2010-08-01 - 2011-07-31 | INACTIVE |
| 213404 | CSP.0028274 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 31 FAIRWOOD FARMS DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3502 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas P Pellon | 31 Fairwood Farms Dr, West Hartford, CT 06107-3502 | Engineer-in-training | 2012-06-12 ~ 2022-06-12 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jim P Moutinho | 17 Fairwood Farms Dr, West Hartford, CT 06107-3502 | Licensed Alcohol and Drug Counselor | 2020-07-01 ~ 2021-06-30 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick K Fox | 168 Fairview Rd, Westbrook, CT 06498 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Koo | 22 Church Ter, Newington, CT 06111-5550 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick Brew | Po Box 266, Bridgewater, CT 06752-0266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick A Kenney | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick Mcauliffe | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Timothy A Lincoln | 163 Patrick Dr, Berlin, CT 06037-4058 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick H Mckenna | 282 Washington St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Patrick J Benton | 58 Knollwood Ln, Darien, CT 06820-2813 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Patrick T Campbell | 594 Farmington Ave, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Patrick W Johnson | 52 Augur St, Hamden, CT 06517-3437 | Controlled Substance Registration for Practitioner | 2017-03-17 ~ 2019-02-28 |
Please comment or provide details below to improve the information on PATRICK DORVILUS MD.
| 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).