DOUGLAS J ANDERSON (Credential# 549573) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2018. The license expiration date date is January 31, 2019. The license status is INACTIVE.
DOUGLAS J ANDERSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031899. The credential type is physician/surgeon. The effective date is February 1, 2018. The expiration date is January 31, 2019. The business address is 8 Jesse Ct, Montville, NJ 07045-9016. The current status is inactive.
Licensee Name | DOUGLAS J ANDERSON |
Credential ID | 549573 |
Credential Number | 1.031899 |
Credential Type | Physician/Surgeon |
Business Address |
8 Jesse Ct Montville NJ 07045-9016 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1991-09-13 |
Effective Date | 2018-02-01 |
Expiration Date | 2019-01-31 |
Refresh Date | 2019-05-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
160685 | CSP.0020480 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Douglas J Anderson | 31 Scott St E, Orangeville, PA 17859-9401 | Flat Glass Unlimited Journeyperson | ~ |
Street Address | 8 JESSE CT |
City | MONTVILLE |
State | NJ |
Zip Code | 07045-9016 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Glenn S Eigenmann | 44 Millers Lane, Montville, NJ 07045 | Chiropractor | 2020-08-01 ~ 2021-07-31 |
Jason Berkowitz Dvm | 33 Sunset Court, Montville, NJ 07045 | Veterinarian | 2020-05-01 ~ 2021-04-30 |
Marc I Lorber | 5 Lenape Drive, Montville, NJ 07045 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Satyanarayana Valiveti | 5 Coppola Ct, Montville, NJ 07045 | Pharmacist | 2020-02-04 ~ 2022-01-31 |
Erik S Wolfe | 156 Pine Brook Road, Montville, NJ 07045 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Halil E Sunar | 12 Cheyenne Drive, Montville, NJ 07045 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Aamer Islam | 23 Waterford Dr, Montville, NJ 07045 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Cristina Scolamiero | 6 Hixson Court, Montville, NJ 07045 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
Kathleen Driscoll | 4 Diann Drive, Montville, NJ 07045 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Howard S Schenkel | 26 Village Drive, Montville, NJ 07045 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
Find all Licenses in zip 07045 |
City | MONTVILLE |
Zip Code | 07045 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MONTVILLE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Douglas K Hyde | 86 Blueberry Hl Rd, Longmeadow, MA 01106 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
Douglas A Rofrano Md | 279 Oakville Ave Apt 9a, Waterbury, CT 06708 | Physician/surgeon | 2005-09-26 ~ 2006-06-30 |
Douglas N. Mintz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Craig A Mcpherson | 614 Douglas Dr, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas Duchen | 112 Quarry Rd Ste 120, Trumbull, CT 06611-4877 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Douglas R Porter | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
Douglas Kornreich | 36 Washburn Rd, Mount Kisco, NY 10549 | Physician/surgeon | ~ |
Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
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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).