THOMAS M BUCKLEY (Credential# 547774) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
THOMAS M BUCKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029419. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304. The current status is active.
Licensee Name | THOMAS M BUCKLEY |
Credential ID | 547774 |
Credential Number | 1.029419 |
Credential Type | Physician/Surgeon |
Business Address |
789 Howard Ave Fitkin 300 New Haven CT 06519-1304 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1992-07-06 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159733 | CSP.0020218 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 789 HOWARD AVE FITKIN 300 |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1304 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael Stuart Leapman | 789 Howard Ave Fitkin 300, New Haven, CT 06519-1304 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter G. Schulam | 789 Howard Ave Fmp 316, New Haven, CT 06519-1304 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Israel Franco | 789 Howard Ave Fmp 308, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Dinesh Singh Md | 789 Howard Ave Fitkin 324, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Sarkis Kiramijyan | 789 Howard Ave, Dana Building, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Russell Rosenberg | 789 Howard Ave, New Haven, CT 06519-1304 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Issahar Ben-dov | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Daniel Kellner | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sounok Sen | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2020-05-21 ~ 2021-02-28 |
Ian D. Ferguson | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Daniel Joseph Friedman | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-07-15 ~ 2021-02-28 |
Find all Licenses in zip 06519-1304 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
Find all Licenses in zip 06519 |
City | NEW HAVEN |
Zip Code | 06519 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + NEW HAVEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leslie Buckley | 129 York St#8k, New Haven, CT 06511 | Physician/surgeon | 2004-06-25 ~ 2005-05-31 |
Timothy J Buckley Do | 415 Killingworth Rd, Higganum, CT 06441 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Lenore M Buckley | 300 Cedar St, New Haven, CT 06519-1612 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Michael B Buckley Md | 1100 Baldwin St, Waterbury, CT 06706 | Physician/surgeon | 1997-12-22 ~ 1999-02-28 |
Donald F Buckley Md | 2070 Bridgeport Ave, Milford, CT 06460 | Physician/surgeon | 1999-02-01 ~ 2000-02-29 |
Patrick J Buckley | Dept of Pathology, New Haven, CT 06510 | Physician/surgeon | 1992-02-24 ~ 1993-01-31 |
Thomas J Rutherford Md · Yale New Haven Hospital | Thomas Rutherford, M. D., Danbury, CT 06810 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Martin O Buckley | 88 Fairy Dell Road, Clinton, CT 06413 | Home Improvement Contractor | ~ 1995-07-01 |
Buckley Construction Inc | 10 Pheasant Hill Rd, Weston, CT 06883 | Home Improvement Contractor | 1998-09-01 ~ 1999-11-30 |
T K Thomas | Po Box 666, Southbridge, MA 01550 | Physician/surgeon | 1996-04-08 ~ 1997-04-30 |
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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).