DANIELLE A BUTLER (Credential# 564404) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
DANIELLE A BUTLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046822. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 22 Adams Lane, Hainesport, NJ 08036. The current status is active.
Licensee Name | DANIELLE A BUTLER |
Credential ID | 564404 |
Credential Number | 1.046822 |
Credential Type | Physician/Surgeon |
Business Address |
22 Adams Lane Hainesport NJ 08036 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-07-23 |
Effective Date | 2019-07-01 |
Expiration Date | 2020-06-30 |
Refresh Date | 2019-08-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
450648 | CSP.0040637 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-12-13 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 22 Adams Lane |
City | Hainesport |
State | NJ |
Zip Code | 08036 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Leonard J Ciccotello | 215 Devon Ln, Hainesport, NJ 08036 | Architect | 2013-08-01 ~ 2014-07-31 |
Carolyn J Arnell | 7 Eckert Rd, Hainesport, NJ 08036 | Registered Nurse | 1992-02-24 ~ 1993-01-31 |
Kathryn E Myers | 106 Glengarry Ln, Hainesport, NJ 08036 | Pharmacy Intern | 2003-09-16 ~ 2007-09-30 |
William Castle | 1345 Route 38, Hainesport, NJ 08036-2728 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
Deola Ajibola Saheed | 3 Easton Way, Hainesport, NJ 08036-4804 | Physician/surgeon | ~ |
Gauttami Patel | 13 Heather Ln, Hainesport, NJ 08036-6248 | Hairdresser/cosmetician | ~ |
City | Hainesport |
Zip Code | 08036 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Hainesport |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shubha M Phansalkar | 54 Butler St, Cos Cob, CT 06807 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Sean Butler | 3 Hurd Ave, Monroe, CT 06468 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Christine G Butler Md | 9 Everit St, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Gary M Ferguson | 100 Butler Drive, Providence, RI 02906 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
Donald L Butler | 15 Corporate Drive, Trumbull, CT 06611 | Physician/surgeon | 2005-01-14 ~ 2006-02-28 |
Doodnauth Hiraman | 78 Butler Lane, New Canaan, CT 06840 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Agnieszka Krawczuk | G25 Forest Heights, Butler, PA 16001 | Physician/surgeon | 2004-01-28 ~ 2005-01-31 |
Reni S Butler Md | 235 Summer Hill Rd., Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Rhett H Butler | 2210 Juniper Ct, Golden, CO 80401-9107 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
Laura Taylor | 502 Shem Butler Ct, Charleston, SC 29414-7154 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).