HOWARD P FORMAN (Credential# 553062) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
HOWARD P FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035469. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 100 Temple St, New Haven, CT 06510. The current status is active.
| Licensee Name | HOWARD P FORMAN |
| Credential ID | 553062 |
| Credential Number | 1.035469 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Temple St New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-08-09 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-07-29 |
| Street Address | 100 TEMPLE ST |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie E Trexler | 100 Temple St, New Haven, CT 06510 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Merry J Feirick | 100 Temple St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Holland | 100 Temple St, New Haven, CT 06510 | Licensed Clinical Social Worker | 2019-10-01 ~ 2020-09-30 |
| Tamer I Sallam Md | 100 Temple St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Margaret M Mishra | 100 Temple St, New Haven, CT 06510 | Registered Nurse | 2008-12-10 ~ 2010-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mel A Forman | 46 White Fall Ln, New Canaan, CT 06840-2039 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter H Forman Jr | 29 Ten Eyck Avenue, Albany, NY 12209 | Physician/surgeon | 2003-02-13 ~ 2003-12-31 |
| Robin Forman Rose | 195 Danbury Rd, Wilton, CT 06897-4075 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Barr H Forman | 200 Orchard Street, New Haven, CT 06511 | Physician/surgeon | 2006-02-17 ~ 2007-04-30 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Daniel Howard Wiznia | 850 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| Lee E Rubin | 800 Howard Ave, New Haven, CT 06519-1369 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| John K Joe Md | 800 Howard Ave Rm #422, New Haven, CT 06520 | Physician/surgeon | 2006-04-03 ~ 2007-04-30 |
| Ned Howard Md | 333 Kennedy Dr, Torrington, CT 06790 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on HOWARD P FORMAN.
| 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).