COURTNEY CHAMBERS MD (Credential# 552214) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
COURTNEY CHAMBERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034618. The credential type is physician/surgeon. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 1860 Pennsylvania Ave, Fairfield, CA 94533. The current status is inactive.
Licensee Name | COURTNEY CHAMBERS MD |
Credential ID | 552214 |
Credential Number | 1.034618 |
Credential Type | Physician/Surgeon |
Business Address |
1860 Pennsylvania Ave Fairfield CA 94533 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1995-06-30 |
Effective Date | 2012-11-01 |
Expiration Date | 2013-10-31 |
Refresh Date | 2014-02-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
479099 | CSP.0042199 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
161379 | CSP.0023400 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1995-07-19 - 1996-02-28 | INACTIVE |
Street Address | 1860 Pennsylvania Ave |
City | Fairfield |
State | CA |
Zip Code | 94533 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michele Huang | 2390 White Drive, Fairfield, CA 94533 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Factor Care Pharmacy LLC · Fcs Pharmacy II | 2333 Courage Dr Suite F-1, Fairfield, CA 94533 | Nonresident Pharmacy | 2009-09-01 ~ 2010-08-31 |
Lisa B Shillito | 3700 Lyon Rd, Fairfield, CA 94533 | Registered Nurse | 2003-08-07 ~ 2004-05-31 |
Marjorie Thompson | 740 Dogwood Circle, Fairfield, CA 94533 | Registered Nurse | 1993-02-25 ~ 1994-03-31 |
Linda F Garcia | 524 Carolina Street, Fairfield, CA 94533 | Licensed Practical Nurse | ~ 1996-07-31 |
Jennifer J Galgano | 72 Manchester Drive, Fairfield, CA 94533 | Registered Nurse | 1998-10-12 ~ 1999-11-30 |
James T Liska | 106 Cherry Valley Court, Fairfield, CA 94533 | Temporary Certified General Real Estate Appraiser | 2001-12-17 ~ 2002-06-14 |
Camille Lamontagne | 1045 Scott St, Fairfield, CA 94533-4172 | Registered Nurse | 2013-09-01 ~ 2014-08-31 |
Melanie Janell Halcomb | 1644 Ontario St, Fairfield, CA 94533-5888 | Registered Nurse - Temporary | 2020-04-15 ~ 2020-08-13 |
Mildred M Mcgillvray-hill | 2574 Freitas Way, Fairfield, CA 94533-6538 | Registered Nurse | 2010-10-01 ~ 2011-09-30 |
Find all Licenses in zip 94533 |
City | Fairfield |
Zip Code | 94533 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Fairfield |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sam F Stea | 55 Chambers Rd, Danbury, CT 06811 | Physician/surgeon | 1981-01-01 ~ 1993-02-28 |
Robert A Chambers Md | 34 Homestead Ave, Hamden, CT 06514 | Physician/surgeon | 2003-04-09 ~ 2004-04-30 |
Abha Gupta | 200 Chambers Street, Apt 7l, New York, NY 10007 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
George Nicholas Welch | 400 Chambers St, New York, NY 10282-1003 | Physician/surgeon | 2019-12-02 ~ 2020-12-31 |
William J Chambers | 9 Highwood Road, Westport, CT 06880 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
Wiley A Chambers | 2536 Queen Anns Ln, Washington, DC 20037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Charles H Chambers | 3296 South Mooney, Visalia, CA 93277 | Physician/surgeon | 1988-04-25 ~ 1989-05-31 |
Joanna Chambers Md | Connecticut Mental Hlth Center, New Haven, CT 06519 | Physician/surgeon | 2003-05-05 ~ 2004-05-31 |
Joseph T Chambers Md | Yale Univ School of Medicine, New Haven, CT 06520-8063 | Physician/surgeon | 2002-12-09 ~ 2003-12-31 |
Theodore P Chambers | 2121 Medical Park Drive, Suite 5, Silver Spring, MD 20902 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
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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).