BARBARA A ROACH MD (Credential# 545485) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 27, 2019. The license expiration date date is January 31, 2021. The license status is ACTIVE.
BARBARA A ROACH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025517. The credential type is physician/surgeon. The effective date is November 27, 2019. The expiration date is January 31, 2021. The business address is Po Box 358, Coventry, CT 06238-0358. The current status is active.
| Licensee Name | BARBARA A ROACH MD |
| Credential ID | 545485 |
| Credential Number | 1.025517 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 358 Coventry CT 06238-0358 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-05-01 |
| Effective Date | 2019-11-27 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-11-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153149 | CSP.0012728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | PO BOX 358 |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-0358 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald P Roach Md | 408 Howe Avenue, Shelton, CT 06484 | Physician/surgeon | 2007-09-21 ~ 2008-10-31 |
| Barbara A Roach | 3116 Burrwood Dr, Baldwinsville, NY 13027-1709 | Veterinarian | 2014-08-12 ~ 2015-03-31 |
| Sean R Roach · Roach Plumbing & Heating | 17 Shadblow Ln, Andover, CT 06232-1131 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara Lock | 35 Coolidge Ave, Rye, NY 10580-1306 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Barbara E Scanley Md | New Haven, CT 06512-3947 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Philip M. Roach Pa | 3 David Dr, Simsbury, CT 06070-3043 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Muhammad Z Islam | 26 Barbara St, Elmont, NY 11003 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Barbara E Denuyl | 25 Grand St, Norwalk, CT 06851 | Physician/surgeon | 1993-03-24 ~ 1993-12-31 |
Please comment or provide details below to improve the information on BARBARA A 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).