NEWTON D BOWDAN MD (Credential# 556682) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2005. The license expiration date date is May 31, 2006. The license status is INACTIVE.
NEWTON D BOWDAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039094. The credential type is physician/surgeon. The effective date is March 21, 2005. The expiration date is May 31, 2006. The business address is 107 Woodbridge St, South Hadley, MA 01075. The current status is inactive.
| Licensee Name | NEWTON D BOWDAN MD |
| Credential ID | 556682 |
| Credential Number | 1.039094 |
| Credential Type | Physician/Surgeon |
| Business Address |
107 Woodbridge St South Hadley MA 01075 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-11-03 |
| Effective Date | 2005-03-21 |
| Expiration Date | 2006-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 257785 | CSP.0030387 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 107 WOODBRIDGE ST |
| 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 |
|---|---|---|---|
| Sandeep Kumar | 300 Woodcliff Rd, Newton, MA 02461-2128 | Physician/surgeon | ~ |
| Lin Li | 72 Newton Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Teddy D Pan | 320 Needham Street, Newton, MA 02464 | Physician/surgeon | 2005-10-31 ~ 2006-10-31 |
| Ely A Kirschner | 2000 Wash St Rm 320, Newton, MA 02462 | Physician/surgeon | 1999-12-20 ~ 2001-02-28 |
| Olga K. Weinberg | Newton Center, MA 02459 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Divya Gupta | 183 Oak Street, Newton, MA 02464 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael M Bergman | 78 Newton Ave, Worcester, MA 01602 | Physician/surgeon | 1997-12-02 ~ 1998-08-31 |
| Marsha L Zellner Md | 229 Newton Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Evan J Tilley Md | 52 Newton St, Fairfield, CT 06824-6926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Parisa Lotfi | 186 Sargent St, Newton, MA 02458-2345 | Physician/surgeon | 2020-05-08 ~ 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).