BARR H FORMAN (Credential# 541291) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 17, 2006. The license expiration date date is April 30, 2007. The license status is INACTIVE.
BARR H FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.014947. The credential type is physician/surgeon. The effective date is February 17, 2006. The expiration date is April 30, 2007. The business address is 200 Orchard Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | BARR H FORMAN |
| Credential ID | 541291 |
| Credential Number | 1.014947 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Orchard Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1971-05-26 |
| Effective Date | 2006-02-17 |
| Expiration Date | 2007-04-30 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 151097 | CSP.0005375 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 - 2007-02-28 | INACTIVE |
| Street Address | 200 Orchard Street |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernest A Topran | 200 Orchard Street, New Haven, CT 06511-5384 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert A Lesnow | 200 Orchard Street, New Haven, CT 06515 | Chiropractor | 2016-06-01 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barr & Barr Inc | 166 Dry Hill Road, Norwalk, CT 06851 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Howard P Forman | 100 Temple St, New Haven, CT 06510 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Mel A Forman | 46 White Fall Ln, New Canaan, CT 06840-2039 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robin Forman Rose | 195 Danbury Rd, Wilton, CT 06897-4075 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter H Forman Jr | 29 Ten Eyck Avenue, Albany, NY 12209 | Physician/surgeon | 2003-02-13 ~ 2003-12-31 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Thomas A Zarka | 38 Barr Farm Rd, Bedford, NH 03110 | Physician/surgeon | 2018-08-22 ~ 2019-04-30 |
| Linda C Barr Md | 176 Mill Plain Rd, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard I Barr | 4 Seadrift Landing, Tiburon, CA 94920 | Physician/surgeon | 2004-04-16 ~ 2005-04-30 |
| Lawrence D Barr | 6 Linden Point Rd, Stony Creek, CT 06405 | Physician/surgeon | 1995-03-14 ~ 1995-12-31 |
Please comment or provide details below to improve the information on BARR H FORMAN.
| 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).