ROBERT J BOOLBOL (Credential# 557788) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ROBERT J BOOLBOL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040205. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489. The current status is active.
| Licensee Name | ROBERT J BOOLBOL |
| Credential ID | 557788 |
| Credential Number | 1.040205 |
| Credential Type | Physician/Surgeon |
| Business Address |
10 Birdseye Rd Ste 260 Farmington CT 06032-2489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-03-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 306205 | CSP.0031957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1650873 | CSP.0070687 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-04-23 | 2019-04-23 - 2021-02-28 | ACTIVE |
| Street Address | 10 BIRDSEYE RD STE 260 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Ann Chomiak | 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yuriy May | 10 Birdseye Rd Ste 240, Farmington, CT 06032-2489 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan Kathrine Boolbol | 21 Reade Place, Poughkeepsie, NY 12601 | Physician/surgeon | ~ |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Lee Gore | 79 Richmond St, Dorchester, MA 02124-5873 | Physician/surgeon | ~ |
| Robert Mittman | 230-26 53 Ave, Bayside, NY 11364 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Robert A Margulies | Po Box 839, Richland, WA 99352 | Physician/surgeon | 2006-04-03 ~ 2007-05-31 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Koenekoop | Westmount, QC H37 2W4 | Physician/surgeon | 2007-10-05 ~ 2008-10-31 |
| Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Please comment or provide details below to improve the information on ROBERT J BOOLBOL.
| 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).