FOWLER F WHITE (Credential# 538858) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 15, 2008. The license expiration date date is March 31, 2009. The license status is INACTIVE.
FOWLER F WHITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007349. The credential type is physician/surgeon. The effective date is January 15, 2008. The expiration date is March 31, 2009. The business address is 130 Doyle Road, Bantam, CT 06750. The current status is inactive.
Licensee Name | FOWLER F WHITE |
Credential ID | 538858 |
Credential Number | 1.007349 |
Credential Type | Physician/Surgeon |
Business Address |
130 Doyle Road Bantam CT 06750 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1953-11-18 |
Effective Date | 2008-01-15 |
Expiration Date | 2009-03-31 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
150511 | CSP.0002291 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
Street Address | 130 Doyle Road |
City | Bantam |
State | CT |
Zip Code | 06750 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marcena P Sass | 422 Bantam Lake Road, Bantam, CT 06750 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Alison Marie Coddington | 42 Old Forge Hollow Rd, Bantam, CT 06750 | Licensed Clinical Social Worker | 2020-06-08 ~ 2021-06-30 |
Frankie Winter | 114 Cathole, Bantam, CT 06750 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Alan J Towne | P.o Box 397, Bantam, CT 06750 | Sub-surface Sewage Installer | 2020-06-01 ~ 2021-05-31 |
Craig M Linsley | P.o. Box 337, Bantam, CT 06750 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
William H Cox | 14 Avalon Lane, Bantam, CT 06750 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Bantam Bread LLC · Former Litchfield Bread | 853 Bantam Rd, Bantam, CT 06750 | Bakery | 2020-07-01 ~ 2021-06-30 |
Peter Germain Interiors LLC | P O Box 783, Bantam, CT 06750 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
Athanasios Gakidis · Bantam Pizza | 768 Bantam Road, Bantam, CT 06750 | Restaurant Wine & Beer | 2019-06-21 ~ 2020-10-20 |
Jessica P Dubrosky | 1201 Bantam Rd, Bantam, CT 06750 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 06750 |
City | Bantam |
Zip Code | 06750 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Bantam |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Chesney Price Fowler | Po Box 8322, Fleming Island, FL 32006-0010 | Physician/surgeon | ~ |
Sandra M Fowler | 1666 Callowhill St Apt 205, Philadelphia, PA 19130-4102 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
Michael S Fowler Md | Chh Cardiovascular Medicine, Torrington, CT 06790 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Martin J Fowler Jr Do | 1768 Business Center Dr., Reston, VA 20190 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Richard Kahrimanis Md | Fowler Nursing Center, Guilford, CT 06437 | Physician/surgeon | 2001-05-16 ~ 2002-05-31 |
Jay S. Lupin | 170 Maple Ave, White Plains, NY 10601-4710 | Physician/surgeon | ~ |
Oi-yin I Ho | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2000-03-10 ~ 2001-03-31 |
Fowler Avenue | 425 Fowler Avenue, Middletown, CT 06457 | Community Living Arrangement | 2020-04-01 ~ 2022-03-31 |
Matthew Joseph White | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
Catherine A. Mcgovern | 170 Maple Ave, White Plains, NY 10601-4710 | Physician/surgeon | ~ |
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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).