JACK R MILLARD MD (Credential# 541375) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2010. The license expiration date date is June 30, 2011. The license status is INACTIVE.
JACK R MILLARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015156. The credential type is physician/surgeon. The effective date is July 1, 2010. The expiration date is June 30, 2011. The business address is 25 Rock Pond Rd, Boylston, MA 01505. The current status is inactive.
| Licensee Name | JACK R MILLARD MD |
| Credential ID | 541375 |
| Credential Number | 1.015156 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Rock Pond Rd Boylston MA 01505 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1971-08-17 |
| Effective Date | 2010-07-01 |
| Expiration Date | 2011-06-30 |
| Refresh Date | 2011-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379333 | CSP.0035663 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-23 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 25 ROCK POND RD |
| City | BOYLSTON |
| State | MA |
| Zip Code | 01505 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nida Shemmeri | 12 Longley Hill Rd, Boylston, MA 01505 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Marcey Osgood | 106 Rocky Pond Rd, Boylston, MA 01505 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anup S Khatra | 10 Abbey Rd, Boylston, MA 01505 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lawrence A Margagliano | 49 Duffy Road, Boylston, MA 01505 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Harold G Poe | 399 Sewall St., Boylston, MA 01505 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Daniel T Duffy | 320 Linden St, Boylston, MA 01505 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| John S Healy | 5 Oregon Ave, Boylston, MA 01505 | Electrical Unlimited Journeyperson | 2012-10-01 ~ 2013-09-30 |
| Paul J Duquette | 51 Columbus Rd, Boylston, MA 01505 | Heating, Piping & Cooling Limited Contractor | 2019-09-01 ~ 2020-08-31 |
| Steven G Barakian | 676 Cross St, Boylston, MA 01505 | Repairer of Weighing & Measuring Devices | 2007-01-01 ~ 2007-12-31 |
| David E Whitney | 77 Linden St, Boylston, MA 01505 | Crane Operator | 1992-10-01 ~ 1994-09-30 |
| Find all Licenses in zip 01505 | |||
| City | BOYLSTON |
| Zip Code | 01505 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOYLSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hun Millard | 10 Tulip Tree Ln, Woodbridge, CT 06525-1415 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Millard D Strutin | 121 Center Grove Rd, Randolph, NJ 07869 | Physician/surgeon | 1996-12-27 ~ 1997-11-30 |
| Joseph G Fink | 270 Millard Ave., Sleepy Hollow, NY 10591 | Physician/surgeon | 2004-11-24 ~ 2005-09-30 |
| Jack Millard | 2405 Leslie Ln, Sacramento, CA 95821-5705 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jack J Forest Md | 111 Harbor Rd, Westport, CT 06880 | Physician/surgeon | 2006-05-23 ~ 2007-04-30 |
| Jack F Perrone | 586 23rd Ave Sw, Rochester, MN 55902-0965 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Jack Zweig | 145 Vaneck Dr., New Rochelle, NY 10804 | Physician/surgeon | 1967-09-18 ~ 1982-06-30 |
| Jack W Snyder Md | 104 Hilary Cir, Fairfield, CT 06432 | Physician/surgeon | 2003-08-04 ~ 2004-07-31 |
| Jack M Dodick | 535 Park Ave, New York, NY 10021 | Physician/surgeon | 2018-04-26 ~ 2019-03-31 |
Please comment or provide details below to improve the information on JACK R MILLARD 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).