BRUCE D CHIPKIN MD (Credential# 554688) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BRUCE D CHIPKIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037098. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 219 Willow Brook Road, Clinton Corner, NY 12514. The current status is active.
| Licensee Name | BRUCE D CHIPKIN MD |
| Credential ID | 554688 |
| Credential Number | 1.037098 |
| Credential Type | Physician/Surgeon |
| Business Address |
219 Willow Brook Road Clinton Corner NY 12514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-17 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 129307 | CSP.0027512 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 219 WILLOW BROOK ROAD |
| City | CLINTON CORNER |
| State | NY |
| Zip Code | 12514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeanie P Arnett | 15 Hoag Drive, Clinton Corners, NY 12514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Geronimo Central Valley Opportunity Fund, LLC | 54 Bentley La, Clinton Corners, NY 12514 | Securities - Exemptions | 2020-05-06 ~ |
| Barbara D Hoxsie | 29 Woods Dr, Clinton Corners, NY 12514 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Bruce J Plumeri | 817 Stanford Road, Clinton Corners, NY 12514 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Christopher R Palmeiro | 2372 Salt Point Turnpike, Clinton Corners, NY 12514 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Carol S Rainone | 291 Clinton Corners Road, Clinton Corners, NY 12514 | Notary Public Appointment | 2015-11-25 ~ 2020-11-30 |
| Mary L Valentino | 56 Tobin Dr, Clinton Corners, NY 12514 | Registered Nurse | 2019-09-11 ~ 2020-08-31 |
| Sylvia L Stots | 472 Willow Brook Rd, Clinton Corners, NY 12514 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Stephen M Perrone | 174 Jameson Hill, Clinton Corners, NY 12514 | Community Association Manager | 2004-02-01 ~ 2005-01-31 |
| Jack Raia | 2422 Saltpoint Tpke, Clinton Corners, NY 12514 | Real Estate Salesperson | 2007-06-01 ~ 2008-05-31 |
| Find all Licenses in zip 12514 | |||
| City | CLINTON CORNER |
| Zip Code | 12514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CLINTON CORNER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce T Sanders | 49 Robin Ct, Poughquag, NY 12570-4508 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Neil B Bruce | 8 Lynwood Pl Apt 12, New Haven, CT 06511-4759 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Bruce P Friedman | 205 West End Ave., New York, NY 10023 | Physician/surgeon | 2004-08-30 ~ 2005-09-30 |
| Bruce E Englander Md | 16 Winchester Ct, Farmington, CT 06032 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Bruce Dickerson Md | 41 Thrush Ln, New Canaan, CT 06840 | Physician/surgeon | 2000-01-17 ~ 2001-02-28 |
| Bruce M Molinelli Md | 31 River Road, Cos Cob, CT 06807 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Bruce D Oran | 45 E 85th St Apt 9-c, New York, NY 10028-0957 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bruce Steven Sachais | 310 E 67th St, New York, NY 10065-6275 | Physician/surgeon | ~ |
| Bruce S Aldred Md | 651 Gilbert Ave, Hamden, CT 06514 | Physician/surgeon | 1998-12-08 ~ 2000-02-29 |
| Bruce Champagne | 330 E 38th St, New York, NY 10016 | Physician/surgeon | 1998-04-16 ~ 1999-04-30 |
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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).