DANA UFNAL KIVLIN (Credential# 1363079) 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.
DANA UFNAL KIVLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055927-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 520 Saybrook Rd, Middletown, CT 06457-4700. The current status is active.
| Licensee Name | DANA UFNAL KIVLIN |
| Credential ID | 1363079 |
| Credential Number | 1.055927-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
520 Saybrook Rd Middletown CT 06457-4700 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-21 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1390637 | CSP.0064388 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1390507 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 520 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan S Aranow Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Peter S Romeyn | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy C. Siegrist Md | 520 Saybrook Rd, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John Rogan Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kiran Pandey Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2008-05-29 ~ 2009-07-31 |
| Raymond F Macionus | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2005-09-02 ~ 2006-10-31 |
| Alan E Bernstein Md | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2000-01-21 ~ 2001-03-31 |
| David M Renison Md | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Herbert A Kaufmann | 520 Saybrook Rd, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 1993-11-16 ~ 1995-12-01 |
| Richard Campbell-jacobs | 520 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tina Roman | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Myer Md | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| James M Parker Jr | 540 Saybrook Rd Ste 100, Middletown, CT 06457-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Root Center for Advanced Recovery | 520 Saybrook Rd Ste 105, Middletown, CT 06457-4700 | Psychiatric Outpatient Clinic | 2019-11-13 ~ 2022-09-30 |
| Christina Y. Kim | 520 Saybrook Rd Fl 1, Middletown, CT 06457-4700 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Brad A Jubelirer | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Allison H Whitaker | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Elizabeth J Northrop | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher C Lawrence | 520 Saybrook Rd Ste 250, Middletown, CT 06457-4700 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
|---|---|---|---|
| Dana E Ufnal | 11 Thomas St, West Hartford, CT 06119 | Emergency Medical Technician | 2006-07-19 ~ 2007-10-01 |
| Dana Lynn Mincer | 81 Big Oak Road, Yardley, PA 19067 | Physician/surgeon | ~ |
| Dana Salomy | 24 Andrea Ln, Scarsdale, NY 10583-3116 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Dana P Woods Md | 15 Skungamaug Rd, Tolland, CT 06084 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Wen Ao Dana Wang | 350 W 42nd St Apt 58d, New York, NY 10036-6964 | Physician/surgeon | 2016-08-17 ~ 2017-02-28 |
| Dana Cavicke Md | 62 Joshuatown Rd, Lyme, CT 06371-3120 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dana Wiseman | 40 Wagon Rd, Glastonbury, CT 06033-3261 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Dana L Boe | 70 Grimes Rd, Rocky Hill, CT 06067-2417 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Dana E Jock | 2250 Co Hwy 33, Cooperstown, NY 13326 | Physician/surgeon | 2007-02-23 ~ 2008-03-31 |
| Dana L Murphy | 35 Mill Stone Cir, Stamford, CT 06903-3513 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
Please comment or provide details below to improve the information on DANA UFNAL KIVLIN.
| 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).