TERRENCE A DOHERTY (Credential# 547809) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
TERRENCE A DOHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029476. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 19 Halls Rd, Old Lyme, CT 06371. The current status is active.
Licensee Name | TERRENCE A DOHERTY |
Credential ID | 547809 |
Credential Number | 1.029476 |
Credential Type | Physician/Surgeon |
Business Address |
19 Halls Rd Old Lyme CT 06371 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1988-09-23 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
154194 | CSP.0016826 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 19 Halls Rd |
City | Old Lyme |
State | CT |
Zip Code | 06371 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James Caramante · Hideaway Restaurant & Pub | 19 Halls Rd, Old Lyme, CT 06371 | Restaurant Liquor | 2020-03-31 ~ 2021-07-30 |
Andys Deli & Market | 19 Halls Rd, Old Lyme, CT 06371-1457 | Retail Dairy Store | 2019-07-01 ~ 2021-06-30 |
Mildred Lopez-goebel | 19 Halls Rd, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Changmin An · Chang Min | 19 Halls Rd, Old Lyme, CT 06371-1457 | Home Improvement Contractor | 2013-01-14 ~ 2013-11-30 |
S-car-go | 19 Halls Rd, Old Lyme, CT 06371 | Bakery | 2007-07-16 ~ 2008-06-30 |
Maryellen Derkacs · Hideaway Restaurant & Pub (the) | 19 Halls Rd, Old Lyme, CT 06371 | Restaurant Liquor | 2005-01-24 ~ 2006-01-23 |
Carl Lutender · Hideaway Restaurant & Pub | 19 Halls Rd, Old Lyme, CT 06371 | Restaurant Liquor | 2004-12-12 ~ 2005-12-11 |
Vigitony's Mama Mais · Dave Vigliotto | 19 Halls Rd, Old Lyme, CT 06371 | Bakery | 1997-10-27 ~ 1998-06-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06371 |
City | Old Lyme |
Zip Code | 06371 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Old Lyme |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Terrence P Flannery | P.o. Box 339, New Baltimore, NY 12124 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Terrence Morton | 207 Hideaway Ln, Mooresville, NC 28117 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Terrence J Callinan Md | 696 Coleman Rd, Middletown, CT 06457-6109 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Terrence J Wilson | 5501 Lbj Fwy Ste 700, Dallas, TX 75240-2304 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
Terrence Mcginty Mulligan | 110 S. Paca St, Baltimore, MD 21201 | Physician/surgeon | ~ |
Terrence Fletcher Holekamp | 1233 E. 2nd St., Casper, WY 82601 | Physician/surgeon | ~ |
Leomerto A Somera | 9 Doherty Dr, Wallingford, CT 06492-2689 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Michael H Doherty, Md | 64 Greenwood Rd, Dublin, NH 03444-8220 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Terrence Ryan Md | 340 Bantam Road, Litchfield, CT 06759 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Terrence L Geiger | 47 Dessa Drive, Hamden, CT 06517 | Physician/surgeon | 1999-03-25 ~ 2000-04-30 |
Please comment or provide details below to improve the information on TERRENCE A DOHERTY.
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).