HARLAN C TALIAFERRO MD (Credential# 563131) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.
HARLAN C TALIAFERRO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045549. The credential type is physician/surgeon. The effective date is December 1, 2013. The expiration date is November 30, 2014. The business address is 196 Parkway S Ste 201, Waterford, CT 06385-1234. The current status is inactive.
| Licensee Name | HARLAN C TALIAFERRO MD |
| Credential ID | 563131 |
| Credential Number | 1.045549 |
| Credential Type | Physician/Surgeon |
| Business Address |
196 Parkway S Ste 201 Waterford CT 06385-1234 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-06-21 |
| Effective Date | 2013-12-01 |
| Expiration Date | 2014-11-30 |
| Refresh Date | 2015-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 411142 | CSP.0037830 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-21 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 196 PARKWAY S STE 201 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-1234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward W Coss Jr | 196 Parkway S Ste 201, Waterford, CT 06385-1234 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark J Somers Md | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas Sena | 196 Parkway S Ste 101, Waterford, CT 06385-1234 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Hartford Healthcare Cancer Institute At Backus Hospital | 196 Parkway South Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-05 ~ 2021-02-28 |
| Gabrielle E Pierce | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rosalind Van Stolk Md | 196 Waterford Pkwy S Ste 306, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter J Gates | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Youval Katz Md | 196 Parkway S Ste 303, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kimberly M Chemacki | 196 Parkway S Ste 103, Waterford, CT 06385-1234 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Backus Family Health Center At Crossroads | 196 Parkway S Ste 201b, Waterford, CT 06385-1234 | Outpatient Clinic | 2014-08-06 ~ 2018-06-30 |
| Sarah R Donahue | 196 Parkway South, Waterford, CT 06385-1234 | Registered Nurse | 2016-10-01 ~ 2017-09-30 |
| Find all Licenses in zip 06385-1234 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Harlan M Stock | 330 E 43rd St Apt 802, New York, NY 10017-4812 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Harlan D Wadley | 15 Covington, 209, New Britain, CT 06053 | Physician/surgeon | 1976-06-30 ~ 1978-04-30 |
| Harlan J Barber | 216 Conestoga Way, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Harlan R Daman | 769 Kimball Ave, Yonkers, NY 10704 | Physician/surgeon | 2006-09-18 ~ 2007-11-30 |
| Harlan M Krumholz Md | 1 Church Street, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Harlan J Shakun | 34 Jerome Avenue, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1990-01-19 ~ 1990-12-31 |
| Harlan Bakeries LLC | 7597 E Us Highway 36, Avon, IN 46123-7171 | Bakery | 2019-08-30 ~ 2020-06-30 |
| Harlan Laboratories Inc | Po Box 44220, Madison, WI 53744-4220 | Commercial Feed | 2016-01-01 ~ 2016-12-31 |
| Harlan Bakeries - Kansas LLC | 3500 N Santa Fe St, Wichita, KS 67219-3634 | Bakery | 2008-08-20 ~ 2009-06-30 |
| Harlan Bakeries Colorado LLC | 1803 E 58th Ave, Denver, CO 80216-1508 | Bakery | 2018-07-01 ~ 2019-06-30 |
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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).