MARIE ROSALETTE A MORTEL (Credential# 1307374) 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.
MARIE ROSALETTE A MORTEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054617. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 380 Mather Street, Hamden, CT 06514. The current status is active.
| Licensee Name | MARIE ROSALETTE A MORTEL |
| Credential ID | 1307374 |
| Credential Number | 1.054617 |
| Credential Type | Physician/Surgeon |
| Business Address |
380 Mather Street Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-09-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1350239 | CSP.0062522 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-04-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 380 Mather Street |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew W Davis | 380 Mather Street, Hamden, CT 06514 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Lauren Anastasia Rao | 380 Mather Street, Hamden, CT 06514 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Adil S Bhutta | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Amber A Morrone | 380 Mather Street, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexandra P Hilliard | 380 Mather Street, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma E Woodward | 380 Mather Street, Hamden, CT 06514 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Emily Lauren Messerschmidt | 380 Mather Street, Hamden, CT 06514 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Pallavi P Gopal | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| David Beber, Jr. | 380 Mather Street, Hamden, CT 06514 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Rosa M Perez | 380 Mather Street, Hamden, CT 06514 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa S. Mortel | 1150 Sta. Rita Road, Olongapo, PH 2200 | Registered Nurse | 2015-05-12 ~ 2016-04-30 |
| Marie L Mannino | 91 Mountain Ave, Hawthorne, NJ 07506 | Physician/surgeon | 2015-06-01 ~ 2016-05-31 |
| Ann Marie Connor | 848 Nebraska Ave W, St Paul, MN 55117 | Physician/surgeon | 1996-10-02 ~ 1997-11-30 |
| Marie-laure Romney | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Suzanne Marie Loiselle | 116 E 66th St Ste 1c, New York, NY 10065-6547 | Physician/surgeon | ~ |
| Marie K Carter Md | 75 Oswegatchie Rd, Waterford, CT 06385 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Marie-anne Denayer Md | 31 Lee Dr, Southington, CT 06489-2926 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Shauna Marie Smith | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marie Bellantoni | 140 Clark St, Milford, CT 06460 | Physician/surgeon | 1994-04-28 ~ 1995-03-31 |
| Amanda Marie Kingston | 34 Park St, New Haven, CT 06519-1109 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
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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).