WILLIAM M DIFEDERICO MD (Credential# 548069) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 7, 1996. The license expiration date date is September 21, 1999. The license status is INACTIVE.
WILLIAM M DIFEDERICO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029865. The credential type is physician/surgeon. The effective date is November 7, 1996. The expiration date is September 21, 1999. The business address is 324 Sunnybank Ave, Stratford, CT 06497. The current status is inactive.
| Licensee Name | WILLIAM M DIFEDERICO MD |
| Credential ID | 548069 |
| Credential Number | 1.029865 |
| Credential Type | Physician/Surgeon |
| Business Address |
324 Sunnybank Ave Stratford CT 06497 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - REVOKED |
| Issue Date | 1989-04-14 |
| Effective Date | 1996-11-07 |
| Expiration Date | 1999-09-21 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158641 | CSP.0017030 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1997-09-23 - 1998-02-28 | INACTIVE |
| Street Address | 324 SUNNYBANK AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06497 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William B Difederico · The House Doctor | 324 Sunnybank Ave, Stratford, CT 06614 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stratford Exxon | 2820 Main St, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stratford Ems | Lordship Station, Stratford, CT 06497 | Certified Ems Organization | 2020-07-01 ~ 2021-06-30 |
| Buzzs Paradise Green Getty · Joelor Enterprises Inc | 4039 Main Street, Stratford, CT 06497 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Deborah S Mackbach | 1412 Main St, Stratford, CT 06497 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Janis G Mcguire | 75 Landon St, Stratford, CT 06497 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Barbara E Gagnon | 55 Elizabeth Terrace, Stratford, CT 06497 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| George Derbaly · House of Spirits (the) | 564 Honeyspot Rd, Stratford, CT 06497 | Package Store Liquor | 2020-06-13 ~ 2021-06-12 |
| Richard P Brown | 6375 Main St, Stratford, CT 06497 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Andrea G Januski | 77 Yale Street, Stratford, CT 06497 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Oronoque Golf Country Club | 385 Oronoque Lane, Stratford, CT 06497 | Golf Country Club Liquor | 2019-09-27 ~ 2021-01-26 |
| Find all Licenses in zip 06497 | |||
| City | STRATFORD |
| Zip Code | 06497 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William B Difederico · The House Doctor | 324 Sunnybank Ave, Stratford, CT 06614 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| William High Md | 2910 Fannin St Ste B, Beaumont, TX 77701-3901 | Physician/surgeon | 2016-07-13 ~ 2017-01-31 |
| William G Cimino Md | William G. Cimino, Md, PC, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William H Truswell | CT | Physician/surgeon | 1973-08-07 ~ 1981-06-30 |
| William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
| William G Lemaster | Rr #2, Patterson, NY 12563 | Physician/surgeon | ~ 1996-08-31 |
| William Sanchez | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| William G Richeimer | Old Lyme, CT 06371 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| William M Cicio | New Milford, CT 06776 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| William T Hennessy | Po Box 325, Amagansett, NY 11930-0325 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
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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).