DIANE M DURGAN (Credential# 1359783) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DIANE M DURGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063098. The credential type is controlled substance registration for practitioner. The effective date is May 7, 2019. The expiration date is February 28, 2021. The business address is Po Box 9317, Stamford, CT 06904-9317. The current status is active.
| Licensee Name | DIANE M DURGAN |
| Credential ID | 1359783 |
| Credential Number | CSP.0063098 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 9317 Stamford CT 06904-9317 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-21 |
| Effective Date | 2019-05-07 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491299 | 1.059196-RES | Resident Physician | 2015-07-01 | 2015-07-01 - 2020-07-01 | ACTIVE |
| 846420 | 70.006687 | Emergency Medical Technician | 2005-11-22 | 2005-11-22 - 2007-06-30 | INACTIVE |
| Street Address | PO BOX 9317 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06904-9317 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Hospital, The | Po Box 9317, Stamford, CT 06904-9317 | General Hospital | 2019-07-01 ~ 2021-06-30 |
| Draupathi E Nambudiri Md · Stamford Hospital | Po Box 9317, Stamford, CT 06904-9317 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kristin Mccoy | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Hsi | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Monica R Reed | Po Box 9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Stanford W Bennett | Po Box 9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Anu G Chandok | Po Box 9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2004-08-19 ~ 2005-02-28 |
| Mohamed S Ahmed | Po Box 9317, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2004-08-20 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Andrianus | 96 Strawberry Hill Avenue, Stamford, CT 06904-9317 | Pharmacy Technician | 2011-04-01 ~ 2012-03-31 |
| Ilana Nossel | Dept. of Psychiatry, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Joseph Fable | One Hospital Plaza, Stamford, CT 06904-9317 | Physician Assistant | 2018-09-12 ~ 2019-06-30 |
| Ronald Dinsmore Md | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Joy Brotherton | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Talia Rosenzweig Md | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Millicent Muir | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2005-03-30 ~ 2006-02-28 |
| Domenico Levci Md | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2004-07-26 ~ 2005-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shahrzad Mohammadi Md | The Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elaine Colandro | 217 Southfield Ave, Stamford, CT 06904 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Carla-vanessa Ruiz | 112 Pine Hill Avenue 2, Stamford, CT 06904 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
| Gerald L Vincent | P O Box 904, Stamford, CT 06904 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Angelico F Fontaine | P.o. Box 122, Stamford, CT 06904 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Sonia Laureano | 84 Toros Ave, Stamford, CT 06904 | Family Child Care Substitute | ~ |
| John F Revay | 100 Maple Tree Avenue Apt C, Stamford, CT 06904 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Michael's Fine Painting LLC | P.o Box 196, Stamford, CT 06904 | Home Improvement Contractor | 2019-03-06 ~ 2019-11-30 |
| Gustavo Held | Box 10957, Stamford, CT 06904 | Notary Public Appointment | 1987-07-01 ~ 1992-03-31 |
| Find all Licenses in zip 06904 | |||
| City | STAMFORD |
| Zip Code | 06904 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Kim | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane Mericnyak | 6 Jan's Court, Monroe, CT 06468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane Chan | 25 Thatcher St Apt 1, Brookline, MA 02446-3532 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Diane L Batza | 522 Aberdeen St, Carmel, IN 46032 | Controlled Substance Registration for Practitioner | ~ |
| Diane C Iacovelli | 15 Glendale Pl, Branford, CT 06405-4816 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ali Shakibai | 53 Diane Dr, Vernon Rockville, CT 06066-6205 | Controlled Substance Registration for Practitioner | 2017-07-27 ~ 2019-02-28 |
| Diane E Gawronski Dmd | 14 Westbrook Rd, Centerbrook, CT 06409 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane L Whitaker-worth Md | 26 Fox Den Rd, Avon, CT 06001-2542 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Diane M Reali Marini Md | 5 Doe Run, Coventry, RI 02816-4712 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Diane D Timms Do | 216 Wilderness Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on DIANE M DURGAN.
| 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).