DANIELLE M CORPUZ (Credential# 1289323) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
DANIELLE M CORPUZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054560. The credential type is physician/surgeon. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 49 Quarry Rd, Waterford, CT 06385-3726. The current status is inactive.
Licensee Name | DANIELLE M CORPUZ |
Credential ID | 1289323 |
Credential Number | 1.054560 |
Credential Type | Physician/Surgeon |
Business Address |
49 Quarry Rd Waterford CT 06385-3726 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-08-24 |
Effective Date | 2016-06-01 |
Expiration Date | 2017-05-31 |
Refresh Date | 2017-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1076728 | CSP.0052684 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-16 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 49 QUARRY RD |
City | WATERFORD |
State | CT |
Zip Code | 06385-3726 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melanie A Parker | 49 Quarry Rd, Waterford, CT 06385-3726 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Alexander P Corpuz | 49 Quarry Rd, Waterford, CT 06385-3726 | Emergency Medical Technician | 2017-02-07 ~ 2019-09-30 |
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 |
---|---|---|---|
Edmund M Corpuz | 160 Montesa Corpuz, Bridgeport, CT 06605 | Registered Nurse | 2003-04-02 ~ 2004-05-31 |
Danielle Gibbs | 6 Massachusetts Ave, Longmeadow, MA 01106-3023 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Danielle Dang | 76 Center Street, Waterbury, CT 06702 | Physician/surgeon | ~ |
Danielle Dang | 55 Water St Unit 4c, Brooklyn, NY 11201-1052 | Physician/surgeon | ~ |
Danielle Vitiello | 3 Zambom Ter, Andover, MA 01810-6400 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Danielle A Butler | 22 Adams Lane, Hainesport, NJ 08036 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Danielle L. Zelnik | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010-3012 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
Danielle Luciano | 7 Langley Park, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Danielle M Lindenmuth | 440 Nottingham Road, Avon, CO 81620 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
Danielle E Engler | 2621 Palisade Ave, Riverdale, NY 10463 | Physician/surgeon | 1994-05-02 ~ 1995-06-30 |
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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).