TODD M BISHOP DO (Credential# 936960) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
TODD M BISHOP DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043002-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 80 S Main St, Middletown, CT 06457. The current status is active.
| Licensee Name | TODD M BISHOP DO |
| Credential ID | 936960 |
| Credential Number | 1.043002-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
80 S Main St Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-12-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 398776 | CSP.0037146 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 560584 | 1.043002-DO | Physician/Surgeon | 2004-12-22 | 2006-05-04 - 2007-05-31 | INACTIVE |
| Street Address | 80 S Main St |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Muhammed Tariq Butt | 80 S Main St, Middletown, CT 06457-3648 | Physician/surgeon | 1976-05-21 ~ 1979-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith Gallagher | 11 Bishop St, New Haven, CT 06511-3931 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jamie Lyn Schned | 44 Bishop Ln, Avon, CT 06001-2801 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tyler Curiel | 94 Bishop St., New Haven, CT 06511 | Physician/surgeon | 1985-07-01 ~ 1987-03-31 |
| Michael Kelly Md | 84 Bishop St, New Haven, CT 06511 | Physician/surgeon | 2007-09-10 ~ 2008-07-31 |
| Katherine H Campbell | 188 Bishop St, New Haven, CT 06511-3718 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mark A Swidler Md | 216 Bishop St Apt 301, New Haven, CT 06511-3742 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Malini Harigopal | 207 Bishop St, New Haven, CT 06511-3717 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Kenneth L Cohen | 9 Bishop Dr, Woodbridge, CT 06525 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John W Bishop | 4400 V St, Sacramento, CA 95817-1445 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Elizabeth Bishop Gausden | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
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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).