ADAM E PERRIN MD (Credential# 549396) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ADAM E PERRIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031688. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 400 Baileyville Road, Middlefield, CT 06455. The current status is active.
Licensee Name | ADAM E PERRIN MD |
Business Name | MHS PRIMARY CARE INCORPORATED |
Credential ID | 549396 |
Credential Number | 1.031688 |
Credential Type | Physician/Surgeon |
Business Address |
400 Baileyville Road Middlefield CT 06455 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1991-07-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160135 | CSP.0019388 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 400 BAILEYVILLE ROAD |
City | MIDDLEFIELD |
State | CT |
Zip Code | 06455 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Elizabeth Bekui Md | 17 Orchard Lane, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Millicent M Malcolm | 369 Baileyville Rd, Middlefield, CT 06455 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Joanne Giardina | 28 Valley Heights Dr, Middlefield, CT 06455 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Lyman Orchards Apple Barrel | Route 157, Middlefield, CT 06455 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Infinity Building LLC | 10 Levesque Rd, Middlefield, CT 06455 | Home Improvement Contractor | 2020-06-17 ~ 2020-11-30 |
Mark Albin Dvm | Powder Ridge Vet Hospital, Middlefield, CT 06455 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
Pamela M Branciforte | 115 Cherry Hill Rd, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Megan E Etheridge | 86 School Street, Middlefield, CT 06455 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
Z Jan Wojas | 5 Race Track Hollow, Middlefield, CT 06455 | Architect | 2020-08-01 ~ 2021-07-31 |
Debra A Skinner | 14 Lake Shore Drive, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06455 |
City | MIDDLEFIELD |
Zip Code | 06455 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIDDLEFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marta Kroo Md · Mhs Primary Care Incorporated | Mhs Primary Care Inc, Cromwell, CT 06416 | Physician/surgeon | 2009-09-01 ~ 2010-08-31 |
Mary G Kellogg Md · Mhs Primary Care Incorporated | 540 Barn Hill Rd, Monroe, CT 06468-1419 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
Larry B Levine | Mhs Primary Care Inc, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Elizabeth K Allard | Northeast Primary Care, Waterford, CT 06385 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David A Lane | Primary Care Group, San Diego, CA 92133-1536 | Physician/surgeon | 1995-06-05 ~ 1996-06-30 |
Yogesh K Katechia | Healthcall Primary Care, Norwich, CT 06360 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Robert J Schreiber | Primary Care Center, Danbury, CT 06810 | Physician/surgeon | 1995-07-12 ~ 1996-08-31 |
Terry Baksh Md | Healthcall Primary Care Center, Norwich, CT 06360 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Mary Cummings Satti | Primary Care for Women, Old Lyme, CT 06371 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Dale M Intihar | Greater Waterbury Primary Care Associates, Prospect, CT 06712 | Physician/surgeon | 2003-04-22 ~ 2004-04-30 |
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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).