MATTHEW BUSHEY MD (Credential# 547658) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MATTHEW BUSHEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029230. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1 Self Ct, Wallingford, CT 06492-2595. The current status is active.
Licensee Name | MATTHEW BUSHEY MD |
Credential ID | 547658 |
Credential Number | 1.029230 |
Credential Type | Physician/Surgeon |
Business Address |
1 Self Ct Wallingford CT 06492-2595 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-07-29 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
156638 | CSP.0016510 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 1 SELF CT |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-2595 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Meyer | 5 Self Ct, Wallingford, CT 06492-2595 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
Katherine S Bushey | 9 Fairlawn Drive, Wallingford, CT 06492-2595 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Edmund J Barbieri | 12 Self Ct, Wallingford, CT 06492-2595 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
Lindsay Meyer | 5 Self Ct, Wallingford, CT 06492-2595 | Speech and Language Pathologist | 2019-12-01 ~ 2020-11-30 |
Gregory E Meyer | 5 Self Ct, Wallingford, CT 06492-2595 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
Rosemary P Barbieri | 12 Self Ct, Wallingford, CT 06492-2595 | Real Estate Broker | 2007-04-01 ~ 2008-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
Find all Licenses in zip 06492 |
City | WALLINGFORD |
Zip Code | 06492 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WALLINGFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David Bushey | 146 Springside Ave Unit C12, New Haven, CT 06515-1055 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
Matthew Patchett | 227 Church St, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Matthew R. Porac | 52 Sachem Dr, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Matthew Ellman | 800 Howard Ave, New Haven, CT 06519-1369 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Matthew P Griffin | 34 Hemlock Ter, Westfield, NJ 07081 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Matthew Aron Weissman | 10 Union Sq E Ste 2g, New York, NY 10003-3314 | Physician/surgeon | ~ |
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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).