DOUGLAS GROSSMAN MD (Credential# 554040) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2000. The license expiration date date is June 30, 2001. The license status is INACTIVE.
DOUGLAS GROSSMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036449. The credential type is physician/surgeon. The effective date is April 18, 2000. The expiration date is June 30, 2001. The business address is 27133 Town Walk Drive, Hamden, CT 06518. The current status is inactive.
| Licensee Name | DOUGLAS GROSSMAN MD |
| Credential ID | 554040 |
| Credential Number | 1.036449 |
| Credential Type | Physician/Surgeon |
| Business Address |
27133 Town Walk Drive Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-10-17 |
| Effective Date | 2000-04-18 |
| Expiration Date | 2001-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 191370 | CSP.0026345 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 27133 TOWN WALK DRIVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandria Monique Lawrence | 27133 Town Walk Drive, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melanie C Grossman | 10 W 66th St Apt 12g, New York, NY 10023-6208 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Marc E Grossman | 105 Mamaroneck Rd, Scarsdale, NY 10583-4532 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Robert S Grossman | 45 Mt. Pleasant Road, Newtown, CT 06470 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| John H Grossman IIi | 2150 Pennsylvania, Washington, DC 20037 | Physician/surgeon | 1998-07-15 ~ 1999-08-31 |
| Robert S Grossman | 14516 Cuba Rd, Cockeysville, MD 21030-1012 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Kenneth P Grossman Md | 73 Mason Terrace, Brookline, MA 02446 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Harold I Grossman | 161 Madison Avenue, Suite 4nw, New York, NY 10016 | Physician/surgeon | 2004-05-03 ~ 2005-04-30 |
| Donald S Grossman | 2234 Vero Beach Ln, West Palm Beach, FL 33411-5756 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Grossman 94 | Winsted Rd Route 8, Torrington, CT 06790 | Operator of Weighing & Measuring Devices | 1995-07-01 ~ 1996-06-30 |
| Thomas C Grossman · Tom Grossman Woodworking | 49 Bunce Rd, Ashley Falls, MA 01222 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
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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).