KEITH PATRICK WILLIAMS (Credential# 556542) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.
KEITH PATRICK WILLIAMS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038954. The credential type is physician/surgeon. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 207 Hutchinson Ave, Haddonfield, NJ 08033-3913. The current status is inactive.
| Licensee Name | KEITH PATRICK WILLIAMS |
| Credential ID | 556542 |
| Credential Number | 1.038954 |
| Credential Type | Physician/Surgeon |
| Business Address |
207 Hutchinson Ave Haddonfield NJ 08033-3913 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-08-17 |
| Effective Date | 2016-11-01 |
| Expiration Date | 2017-10-31 |
| Refresh Date | 2018-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 242504 | CSP.0030071 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 207 HUTCHINSON AVE |
| City | HADDONFIELD |
| State | NJ |
| Zip Code | 08033-3913 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jana Goldberg | 156 W. 56th Street, New York, NY 08033 | Physician/surgeon | ~ |
| Brian J Connolly Jr | 23 Estaugh Ave, Haddonfield, NJ 08033 | Pharmacist | 2019-12-20 ~ 2022-01-31 |
| Frank Dellorco | 419 Washington Ave, Haddonfield, NJ 08033 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| John W Kornick | 3 Manor Lane, Haddonfield, NJ 08033 | Professional Engineer | ~ |
| Gary S Narducci | 333 Farwwod Rd, Haddonfield, NJ 08033 | Real Estate Salesperson | 2009-06-01 ~ 2010-05-31 |
| Steven J Mcclane Md | 3 Cooper Plaza, Suite 411, Camden, NJ 08033 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Cheryl L Davis Md | 201 Merion Ave, Haddonfield, NJ 08033 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Julie Natale Fenton | 128 Gill Road, Haddonfield, NJ 08033 | Certified Public Accountant License | 2008-01-01 ~ 2008-12-31 |
| Judith F Rowland | 611 Avondale Ave, Haddonfield, NJ 08033 | Physical Therapist | 2009-02-19 ~ 2010-04-30 |
| Grace M Wesolow | 210 W Crystal Lake, Haddonfield, NJ 08033 | Physician/surgeon | 1997-07-02 ~ 1998-07-31 |
| Find all Licenses in zip 08033 | |||
| City | HADDONFIELD |
| Zip Code | 08033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HADDONFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Patrick Byrne Broderick | Dr Patrick Broderick, Danbury, CT 06810 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Keith A Cauley | 33 Fairview Dr, Farmington, CT 06032-2516 | Physician/surgeon | 2020-01-24 ~ 2020-08-31 |
| Keith M Spellman | Po Box 320757, Los Gatos, CA 95032-0112 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Keith J Champney | 17 Ewell Ave, Lexington, MA 02421 | Physician/surgeon | 1999-10-14 ~ 2000-08-31 |
| Keith Ray Hodge Md | 95 Dover Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-03-12 ~ 2002-03-31 |
| Keith B Quencer | 198 Edwards St Apt 4, New Haven, CT 06511-3702 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Keith Edwards | 140 Hospital Dr, Bennington, VT 05201 | Physician/surgeon | 1992-07-23 ~ 1993-06-30 |
| Keith A Vom Eigen | 37 Hobson Ave, Windsor, CT 06095 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Keith Gallagher | 11 Bishop St, New Haven, CT 06511-3931 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on KEITH PATRICK WILLIAMS.
| 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).