DONALD P ROACH MD (Credential# 539190) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2007. The license expiration date date is October 31, 2008. The license status is INACTIVE.
DONALD P ROACH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.008518. The credential type is physician/surgeon. The effective date is September 21, 2007. The expiration date is October 31, 2008. The business address is 408 Howe Avenue, Shelton, CT 06484. The current status is inactive.
| Licensee Name | DONALD P ROACH MD |
| Credential ID | 539190 |
| Credential Number | 1.008518 |
| Credential Type | Physician/Surgeon |
| Business Address |
408 Howe Avenue Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1957-05-02 |
| Effective Date | 2007-09-21 |
| Expiration Date | 2008-10-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 146604 | CSP.0001894 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-01 - 2008-02-29 | INACTIVE | |
| 151724 | CSP.0008484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | 408 HOWE AVENUE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Roach Md | Po Box 358, Coventry, CT 06238-0358 | Physician/surgeon | 2019-11-27 ~ 2021-01-31 |
| Donald R Wieche | Box 227, Plymouth, VT 05056 | Physician/surgeon | 1994-02-04 ~ 1995-03-31 |
| Donald Pet | 93 Bette Dr, Manchester, CT 06040 | Physician/surgeon | 1990-07-23 ~ 1991-06-30 |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Donald Maier | 9 Penryn Way, Rockport, MA 01966-2318 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Donald R Greene | 80 Randi Dr, Madison, CT 06443-2462 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Donald F Zinn | 38 Munger Rd, Guilford, CT 06437 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Donald E Miller | 44 Sunset Ter, Essex, CT 06426-1025 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Donald S Ruffett | 32 Stonegate, Unionville, CT 06085-1468 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Donald Lombino Md | 22 Connecticut Ave, Greenwich, CT 06830-5710 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DONALD P ROACH 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).