CAROLYN A DESHEFY (Credential# 553897) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
CAROLYN A DESHEFY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036305. The credential type is physician/surgeon. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 67 Old Mill Rd, Middletown, CT 06457. The current status is active.
| Licensee Name | CAROLYN A DESHEFY |
| Credential ID | 553897 |
| Credential Number | 1.036305 |
| Credential Type | Physician/Surgeon |
| Business Address |
67 Old Mill Rd Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-08-15 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 187634 | CSP.0026009 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2020-03-06 | INACTIVE |
| Street Address | 67 OLD MILL RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn D Howard | P.o. Box 672, Ashway, RI 02804 | Physician/surgeon | 2003-08-11 ~ 2004-08-31 |
| Carolyn A Clark Md | 43 Enterprise Dr, Bristol, CT 06010-7457 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carolyn M Sofka | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Carolyn E Thompson | 210 E 64th St Fl 4, New York, NY 10065-7471 | Physician/surgeon | 2015-08-04 ~ 2016-08-31 |
| Carolyn Jones Md | 36 Clark Ln, Waterford, CT 06385 | Physician/surgeon | 2004-01-12 ~ 2005-02-28 |
| Carolyn M Testa-casino | 29 Hospital Plz Ste 495, Stamford, CT 06902-3602 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Carolyn L Rochester | 49 Cranberry Lane, Cheshire, CT 06410 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hosni M Mikhael Md | 10 Carolyn Crt., North Haven, CT 06473-2177 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carolyn L Jackson | 2207 Summerlake Dr, Dunwoody, GA 30350 | Physician/surgeon | 1994-10-18 ~ 1995-10-31 |
| Carolyn H Thompson Md | 48 Harbor View Ave, Norwalk, CT 06854 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Please comment or provide details below to improve the information on CAROLYN A DESHEFY.
| 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).