WILLIAM R CROMBLEHOLME MD (Credential# 559658) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
WILLIAM R CROMBLEHOLME MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042076. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 80 Seymour St, Hartford, CT 06102-8000. The current status is inactive.
| Licensee Name | WILLIAM R CROMBLEHOLME MD |
| Credential ID | 559658 |
| Credential Number | 1.042076 |
| Credential Type | Physician/Surgeon |
| Business Address |
80 Seymour St Hartford CT 06102-8000 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-12-31 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 360018 | CSP.0034498 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 80 SEYMOUR ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-8000 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pragya Kalla | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Nicole G Baarck | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Matteen Hakim | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashley Sanchez Ramos | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohammad I Alshelleh | 80 Seymour St Ste 502, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Konstadina Darsaklis | 85 Jefferson Street (jefferson Building), Hartford, CT 06102-8000 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter Paul Yu | 195 Retreat Avenue, Hartford, CT 06102-8000 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Besiana L Liti | 80 Seymour St Bldg 217, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aparna Vaddiparti | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hema D. Brazell Md | 85 Seymour St Mob 525, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mark W Sebastian Md | 80 Seymour St # Cb-136, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kseniya Khmara | 100 Retreat Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Zohra Salehi | 500 Albany Ave, Hartford, CT 06102-8000 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Igor Georgievskiy | 80 Seymour St Ste 502, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102-8000 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | HARTFORD |
| Zip Code | 06102 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Crombleholme | 4619 W Amherst Ave, Dallas, TX 75209 | Physician/surgeon | ~ |
| William High Md | 2910 Fannin St Ste B, Beaumont, TX 77701-3901 | Physician/surgeon | 2016-07-13 ~ 2017-01-31 |
| William G Cimino Md | William G. Cimino, Md, PC, Fairfield, CT 06824 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William H Truswell | CT | Physician/surgeon | 1973-08-07 ~ 1981-06-30 |
| William L. Emerson | 3110 W End Cir Apt 1, Nashville, TN 37203-1124 | Physician/surgeon | ~ |
| William L Gates Jr | Po Box 816, Cheshire, CT 06410 | Physician/surgeon | 1993-11-10 ~ 1994-10-31 |
| William Cieplinski | 27 Claremont Ave, Rye, NY 10580-2503 | Physician/surgeon | 1978-05-10 ~ 1986-01-31 |
| William G Richeimer | Old Lyme, CT 06371 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| William J. Goodman | 84 Willow St, Brooklyn, NY 11201-1617 | Physician/surgeon | ~ |
| William E Cusack Jr | P.o. Box 933, Durham, NH 03824-0933 | Physician/surgeon | 2007-08-01 ~ 2008-06-30 |
Please comment or provide details below to improve the information on WILLIAM R CROMBLEHOLME 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).