DINA FERDMAN (Credential# 1271338) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DINA FERDMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053974. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 5520 Park Ave, Trumbull, CT 06611-3463. The current status is active.
| Licensee Name | DINA FERDMAN |
| Credential ID | 1271338 |
| Credential Number | 1.053974 |
| Credential Type | Physician/Surgeon |
| Business Address |
5520 Park Ave Trumbull CT 06611-3463 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-02 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1276084 | CSP.0059797 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-04-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5520 PARK AVE |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3463 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Radhika S Datar | 5520 Park Ave, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Smilow Cancer Hospital Trumbull Treatment Ctr | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Danielle Marie Bertoni | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Germano Guadagnoli Md | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rui Zhang | 5520 Park Ave, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin Persico | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pediatric Oncology Treatment Center | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jordan Marcou | 5520 Park Ave, Trumbull, MA 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roxanne C Abder Md | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew S Kenler | 5520 Park Ave, Trumbull, CT 06611-3465 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Simkovitz Md | 5520 Park Ave Ste Wp1-900, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dina Kandil | 6 Cook St, Westborough, MA 01581-3637 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Dina Hooshyar | Yale University, New Haven, CT 06511 | Physician/surgeon | 2010-01-01 ~ 2010-12-31 |
| Dina Burstein | 65 Harbor Street, Branford, CT 06405 | Physician/surgeon | 1994-11-23 ~ 1995-11-30 |
| Dina Ahmed | 131 Beach 119th St Apt 6a, Rockaway Park, NY 11694-1981 | Physician/surgeon | 2020-03-23 ~ 2021-01-31 |
| Dina Amato | 77 North Water St., South Norwalk, CT 06854 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dina Abdelwahab | 1500 Locust St Apt 3008, Philadelphia, PA 19102-4340 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Dina Abdelrahman Mohamed Ali Ibrahim | 825 Pontiac Ave Apt 8104, Cranston, RI 02910-5931 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Henry I Ferdman | 3-d Earls Court, Farmington, CT 06032 | Dentist | 2009-09-01 ~ 2010-08-31 |
| Dina D'amato Pa | 27 Rosemary Court, Middlefield, CT 06455 | Physician Assistant | 1999-12-27 ~ 2001-01-31 |
| Dina R Weitz · Dina A. Restaurant | 26 Danbury Road, Wilton, CT 06897 | Restaurant Liquor | 2011-11-09 ~ 2012-11-05 |
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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).