DOUGLAS J ROBERTS JR (Credential# 539027) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 14, 2008. The license expiration date date is July 31, 2009. The license status is INACTIVE.
DOUGLAS J ROBERTS JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.007972. The credential type is physician/surgeon. The effective date is July 14, 2008. The expiration date is July 31, 2009. The business address is 56 Four Mile Riv Rd, Old Lyme, CT 06371-1542. The current status is inactive.
| Licensee Name | DOUGLAS J ROBERTS JR |
| Credential ID | 539027 |
| Credential Number | 1.007972 |
| Credential Type | Physician/Surgeon |
| Business Address |
56 Four Mile Riv Rd Old Lyme CT 06371-1542 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1987-01-08 |
| Effective Date | 2008-07-14 |
| Expiration Date | 2009-07-31 |
| Refresh Date | 2010-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155875 | CSP.0014515 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 56 FOUR MILE RIV RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1542 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane G Mathiason | 64 Four Mile River Rd, Old Lyme, CT 06371-1542 | Hypnotist | 2019-11-01 ~ 2020-10-31 |
| William P Annibalini | 58 Four Mile River Rd, Old Lyme, CT 06371-1542 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Jessica Rand | 66 Four Mile River Rd, Old Lyme, CT 06371-1542 | Emergency Medical Responder | 2018-07-03 ~ 2021-04-01 |
| Kenneth W Miller | 64 Four Mile River Rd, Old Lyme, CT 06371-1542 | Electrical Unlimited Contractor | 2018-10-01 ~ 2019-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Min Guo | 35 Roberts Rd, New City, NY 10956-4234 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Brian Christopher Roberts | 545 1st Ave., New York, NY 10016 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| William L Roberts | 3 Sandway Dr, Brandon, MS 29042 | Physician/surgeon | 1994-07-13 ~ 1995-07-31 |
| Scott Roberts | 645 N Michigan Ave Ste 900, Chicago, IL 60611-2823 | Physician/surgeon | 2020-03-11 ~ 2021-03-31 |
| Michele Roberts | 44 Howard St, Paxton, MA 01612-1569 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Christie D Roberts | 28 Grand Pl, Newtown, CT 06470-2114 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Roberts M Rees | 557 Weathersfield, Fearrington Village, NC 27312 | Physician/surgeon | 1996-05-17 ~ 1997-03-31 |
| Ronald Hayden | 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard W Roberts | 43 Timber Lane, Willington, CT 06279 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Jeffrey H Roberts | 5 Bear Lane, Lattingtown, NY 11560 | Physician/surgeon | 1993-03-24 ~ 1994-02-28 |
Please comment or provide details below to improve the information on DOUGLAS J ROBERTS JR.
| 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).