HOLLY E PERRY (Credential# 554782) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2008. The license expiration date date is April 30, 2009. The license status is INACTIVE.
HOLLY E PERRY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037192. The credential type is physician/surgeon. The effective date is March 14, 2008. The expiration date is April 30, 2009. The business address is 654 Amherst Road, South Hadley, MA 01075. The current status is inactive.
Licensee Name | HOLLY E PERRY |
Credential ID | 554782 |
Credential Number | 1.037192 |
Credential Type | Physician/Surgeon |
Business Address |
654 Amherst Road South Hadley MA 01075 |
Business Type | INDIVIDUAL |
Status | INACTIVE - PRIOR DISCIPLINE |
Issue Date | 1998-08-14 |
Effective Date | 2008-03-14 |
Expiration Date | 2009-04-30 |
Refresh Date | 2009-08-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
205493 | CSP.0027731 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 | 2006-03-01 - 2007-02-28 | INACTIVE |
Street Address | 654 Amherst Road |
City | South Hadley |
State | MA |
Zip Code | 01075 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 01075 |
City | South Hadley |
Zip Code | 01075 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + South Hadley |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Holly Thompson | 285 13th St, Brooklyn, NY 11215-4909 | Physician/surgeon | ~ |
Perry G Seese | Ste 218, Atlanta, GA 30329 | Physician/surgeon | 1992-03-24 ~ 1993-02-28 |
Timothy Tan | 135 Perry St Apt 9, New York, NY 10014 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Holly Ann Mazur | 58 Esty Rd, Princeton, MA 01541-1215 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Holly L Seddon Md | 52 Wheaton Rd, New Milford, CT 06776-2137 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Wendy L Stiles | 506 W Holly St, Phoenix, AZ 85003-1119 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
Douglas D Perry | 780 Farmington Ave, Bristol, CT 06010-3920 | Physician/surgeon | 2000-03-24 ~ 2001-05-31 |
Perry A. Pugno | 158 Merriman Rd, Windsor, CT 06095-1007 | Physician/surgeon | 1982-03-22 ~ 1984-04-30 |
Nicholas A. Perry | 540 Whitney Ave, New Haven, CT 06511 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
Robert J Perry | 1 Geiser St, Mystic, CT 06355-3027 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).