DOUGLAS W MACRAE MD (Credential# 540699) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
DOUGLAS W MACRAE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.013361. The credential type is physician/surgeon. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 80 Englewood Drive, Orange, CT 06477. The current status is inactive.
| Licensee Name | DOUGLAS W MACRAE MD |
| Credential ID | 540699 |
| Credential Number | 1.013361 |
| Credential Type | Physician/Surgeon |
| Business Address |
80 Englewood Drive Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1968-03-20 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2013-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 148930 | CSP.0002069 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 80 ENGLEWOOD DRIVE |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madelyn Ziino | 80 Englewood Drive, Orange, CT 06477 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Jean W Macrae | 80 Englewood Drive, Orange, CT 06477 | Registered Nurse | 2005-02-28 ~ 2006-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | ORANGE |
| Zip Code | 06477 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ORANGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Cyle Douglas Rogotzke | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Douglas Kornreich | 36 Washburn Rd, Mount Kisco, NY 10549 | Physician/surgeon | ~ |
| Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
| Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
| Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jeromy Patterson | 4455 Douglas Ave, Bronx, NY 10471-3519 | Physician/surgeon | ~ |
| Douglas Macgregor | 82 Lydias Ln, Lamoine, ME 04605-4582 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Gregory P Geba Md | 5 Douglas Dr, Sparta, NJ 07871 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Douglas B Bober | 603 Countryside Pl Se, Smyrna, GA 30080-8238 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
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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).