ROY L DORMAN JR (Credential# 554543) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 9, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
ROY L DORMAN JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036953. The credential type is physician/surgeon. The effective date is February 9, 2004. The expiration date is March 31, 2005. The business address is 1000 Asylum Ave, Hartford, CT 06105. The current status is inactive.
| Licensee Name | ROY L DORMAN JR |
| Credential ID | 554543 |
| Credential Number | 1.036953 |
| Credential Type | Physician/Surgeon |
| Business Address |
1000 Asylum Ave Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-06-12 |
| Effective Date | 2004-02-09 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 193211 | CSP.0026867 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 1000 ASYLUM AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malta House of Care, Inc. · Malta House of Care Mobile Medicial Clinic | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2019-08-02 ~ 2022-06-30 |
| Amanda Fantry | 1000 Asylum Ave, Hartford, CT 06105-1770 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Luis F Diez-morales | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| H Robert Silverstein | 1000 Asylum Ave, Hartford, CT 06105-1794 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter P White | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bechara Barrak Md | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Malta House of Care, Inc.-st. Peter's Church | 1000 Asylum Ave, Hartford, CT 06105-1770 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Martin Hoffman Do | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Eugene D Sullivan | 1000 Asylum Ave, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| James M Feeney Md · A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multiple Rib Fractures. | 1000 Asylum Ave, Hartford, CT 06105-1770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ibrahim M Zayneh | 2439 Dorman Drive, Portsmouth, OH 45662 | Physician/surgeon | ~ 1999-04-30 |
| Robert I Dorman | 175 Van Houten Flds, West Nyack, NY 10994 | Physician/surgeon | 2005-10-26 ~ 2006-10-31 |
| Charles E Dorman · Charles Dorman Building | 14 Plank Rd, Prospect, CT 06712 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| William Swendsen · B&m Dorman Rd | 95 Dorman Rd, Oxford, CT 06478-1601 | New Home Construction Contractor | 2010-03-03 ~ 2011-09-30 |
| James Dorman · James Dorman Remodeling Services | 35 Haylin Dr, Vernon, CT 06066 | Home Improvement Contractor | 2006-09-15 ~ 2006-11-30 |
| Dorman's Tree Cutting LLC | 12 Wellington Court Dr, Danbury, CT 06811-2962 | Home Improvement Contractor | 2015-09-03 ~ 2016-11-30 |
| Legg Mason Dorman & Wilson Inc | One North Lexington Ave, White Plains, NY 10601 | Real Estate Broker | 1998-06-01 ~ 1999-05-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
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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).