DOUGLAS E CHAMBERLIN (Credential# 551997) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DOUGLAS E CHAMBERLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034399. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Fox Run Psychiatric Associates PC, Glastonbury, CT 06033. The current status is active.
| Licensee Name | DOUGLAS E CHAMBERLIN |
| Credential ID | 551997 |
| Credential Number | 1.034399 |
| Credential Type | Physician/Surgeon |
| Business Address |
Fox Run Psychiatric Associates PC Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-04-21 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164151 | CSP.0023181 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | FOX RUN PSYCHIATRIC ASSOCIATES PC |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | GLASTONBURY |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GLASTONBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allen C Chamberlin | 881 Alma Real Dr, Los Angeles, CA 90272 | Physician/surgeon | 1987-07-23 ~ 1988-06-30 |
| Chamberlin Agency Inc · Richard C Chamberlin Jr | 433 Campbell Ave, West Haven, CT 06516 | Real Estate Broker | 1996-06-01 ~ 1997-05-31 |
| Winston T Chamberlin | Box 417a, Amenia, NY 12501 | Home Improvement Contractor | ~ 1995-08-01 |
| Peter F Chamberlin · Chamberlin Custom Carpentry | 120 Dublin Hill Rd, Higganum, CT 06441-4131 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Douglas M Griswold | 150 Mansfield Ave, Willimantic, CT 06226 | Physician/surgeon | 1992-10-23 ~ 1993-12-31 |
| Douglas A Rofrano Md | 279 Oakville Ave Apt 9a, Waterbury, CT 06708 | Physician/surgeon | 2005-09-26 ~ 2006-06-30 |
| Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
| Douglas J Anderson | 8 Jesse Ct, Montville, NJ 07045-9016 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
Please comment or provide details below to improve the information on DOUGLAS E CHAMBERLIN.
| 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).