DAVID A HARRIMAN MD (Credential# 564673) 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.
DAVID A HARRIMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047091. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 16 Shorelands Dr, Madison, CT 06443. The current status is active.
| Licensee Name | DAVID A HARRIMAN MD |
| Credential ID | 564673 |
| Credential Number | 1.047091 |
| Credential Type | Physician/Surgeon |
| Business Address |
16 Shorelands Dr Madison CT 06443 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-10-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 518500 | CSP.0044816 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-11-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 16 Shorelands Dr |
| City | Madison |
| State | CT |
| Zip Code | 06443 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madison Youth Football | 16 Shorelands Dr, Madison, CT 06443-2829 | Raffle Permit Class 1 | 2016-10-15 ~ 2016-10-15 |
| Charles J Genesius | 16 Shorelands Dr, Madison, CT 06443 | Pharmacist | 2002-02-01 ~ 2003-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | Madison |
| Zip Code | 06443 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Madison |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raja T Mallavarapu | 2 Oxford Lane, Harriman, NY 10926 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Robert W Harriman Jr · Harriman Construction | 45 Milltown Rd, Danbury, CT 06811 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Bassem Sawers | 89 Harriman Woods Dr, Harriman, NY 10926-3505 | Pharmacist | ~ |
| David Harriman | Avon, CT 06001 | Pharmacy Technician | 2005-04-01 ~ 2006-03-31 |
| David W Harriman | 40 County Rd, Simsbury, CT 06070-1206 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| David P Roy | 184 East St, Plainville, CT 06062-2913 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DAVID A HARRIMAN 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).