JONATHAN J FILLMORE MD (Credential# 557046) 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.
JONATHAN J FILLMORE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039461. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 1625 Straits Tpke, Middlebury, CT 06762-1836. The current status is active.
| Licensee Name | JONATHAN J FILLMORE MD |
| Credential ID | 557046 |
| Credential Number | 1.039461 |
| Credential Type | Physician/Surgeon |
| Business Address |
1625 Straits Tpke Middlebury CT 06762-1836 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-04-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 283174 | CSP.0031018 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-06-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1625 STRAITS TPKE |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Generali School of Literature & The Arts | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Child Care Center | 2018-10-01 ~ 2022-09-30 |
| Strictly Pizza · Domenic's & Vinnies Pizza | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Vincislao Crudele · Domenic's & Vinnie's Pizza | 1625 Straits Tpke, Middlebury, CT 06762 | Restaurant Wine & Beer | 2020-02-25 ~ 2021-06-24 |
| Gary Kane | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| David C Knight Md | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ezzat Hafez | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Farah Choudhry Md | 1625 Straits Tpke, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jane D Cooper | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter Levinson | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zhongqiu J Zhang | 1625 Straits Tpke, Middlebury, CT 06762-1836 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayakara Shetty Md | 1625 Straits Tpke Ste 200, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine Kedzierski | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beatriz R Olson | 1625 Straits Tpke Ste 207, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ezzat S Hafez | 1625 Straits Tpke Ste 302, Middlebury, CT 06762-1836 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Jonathan D Parkhurst | 1625 Straits Tpke Ste 110, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arsalan Elahi | 1625 Straits Tpke Ste 210, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Deluca Md | 1625 Straits Tpke Ste 110, Middlebury, CT 06762-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia E Rosa · Lambo | 76 East Farm Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kathy Ann Calo · Bellino | 116 Carriage Drive, Middlebury, CT 06762 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Laurie V Massetti | 60 Yale Avenue, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timex Corp | Park Rd Ext, Middlebury, CT 06762 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Margaret E Mowrey | 57 Marney Drive, Middlebury, CT 06762 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Giuseppe Tripodi | 687 Straits Tpk, Middlebury, CT 06762 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elise L Callahan | 77 Christian Rd, Middlebury, CT 06762 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle King | 91 Kissewaug Rd, Middlebury, CT 06762 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michael F Simms IIi | 80 Burr Hall Road, Middlebury, CT 06762 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly M Barbaris | 62 Yale Avenue, Middlebury, CT 06762 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06762 | |||
| City | MIDDLEBURY |
| Zip Code | 06762 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLEBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa G Fillmore Md | 196 Canner St, New Haven, CT 06511-2233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Jonathan Y Ko | Po Box 180, Goshen, CT 06756-0180 | Physician/surgeon | 2009-06-09 ~ 2014-04-30 |
| Jonathan Ek | 306 W Griggs #209, Urbana, IL 61801 | Physician/surgeon | ~ |
| Jonathan Goldstein | 513 Rio Grande Ave, Santa Fe, NM 87501-1311 | Physician/surgeon | ~ |
| Jonathan Jensen | 101 Morris St., Albany, NY 12208 | Physician/surgeon | 1988-05-27 ~ 1992-05-31 |
| Jonathan L Levine Md | 4 Shaws Cv Ste 204, New London, CT 06320-4956 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jonathan Anthony Hinds | 298 5th Ave, New York, NY 10001-4522 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan Schreiber Md | 1 Barnard Ln Ste 102, Bloomfield, CT 06002-2482 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jonathan Ringo | 22 Lafayette Dr, Woodmere, NY 11598-1031 | Physician/surgeon | 2013-02-28 ~ 2013-11-30 |
Please comment or provide details below to improve the information on JONATHAN J FILLMORE MD.
| 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).