DOUGLAS R WHIPPLE MD (Credential# 560912) 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.
DOUGLAS R WHIPPLE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043330. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 30 Wildwood Dr, Avon, CT 06001. The current status is active.
Licensee Name | DOUGLAS R WHIPPLE MD |
Credential ID | 560912 |
Credential Number | 1.043330 |
Credential Type | Physician/Surgeon |
Business Address |
30 Wildwood Dr Avon CT 06001 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-04-15 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
404524 | CSP.0037452 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 30 WILDWOOD DR |
City | AVON |
State | CT |
Zip Code | 06001 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julie R Deitch | 5 Bridle Path, Avon, CT 06001 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
Brigitte Nicole Heleniak | 16 Sunset Trail, Avon, CT 06001 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Coffee Trade Inc (the) | 21 West Main St, Avon, CT 06001 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Elizabeth Stockwell | 44 Applewood Lane, Avon, CT 06001 | Real Estate Salesperson | ~ |
Mollie Velma Lahaie | 14 Red Mountain Lane, Avon, CT 06001 | Registered Nurse | 2020-06-26 ~ 2020-08-31 |
Meiling Chen | Avon Nail 315 W Main Street, Avon, CT 06001 | Nail Technician | ~ |
Richard J Kaiser | 72 Westland Road, Avon, CT 06001 | Architect | 2020-08-01 ~ 2021-07-31 |
Michele L Sweitzer | 12 Bluestone Lane, Avon, CT 06001 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Caroline O Amin | 5 Colby Way, Avon, CT 06001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Christine Burns | 102 New Road, Avon, CT 06001 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06001 |
City | AVON |
Zip Code | 06001 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + AVON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Malvin Proctor | 22 Whipple Rd, Wilton, CT 06897 | Physician/surgeon | 1993-04-23 ~ 1994-06-30 |
Robert A Whipple · Whipple's Painting | 380 Flanders Rd, Mystic, CT 06355 | Home Improvement Contractor | 1997-07-28 ~ 1997-11-30 |
Douglas R Czarnomski | 555 Nate Whipple Hwy, Cumberland, RI 02864 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Chris Whipple · Whipple's Yard Service | 39 Yetter Rd, Mystic, CT 06355-1027 | Home Improvement Contractor | 2020-01-30 ~ 2020-11-30 |
Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
Douglas W Bell | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ 1978-07-31 |
Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Douglas Jeffrey Key | 800 Sw 13th Ave, Portland, OR 97205-1902 | Physician/surgeon | 1972-08-18 ~ 1978-08-31 |
Douglas E Hertford Md | 19 Cattle Pen Ln, Ridgefield, CT 06877-5829 | Physician/surgeon | 2020-02-06 ~ 2020-08-31 |
Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
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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).