DIANA M RODRIGUEZ (Credential# 1471721) 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.
DIANA M RODRIGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060074. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 445 South Main St, West Hartford, CT 06110. The current status is active.
| Licensee Name | DIANA M RODRIGUEZ |
| Credential ID | 1471721 |
| Credential Number | 1.060074 |
| Credential Type | Physician/Surgeon |
| Business Address |
445 South Main St West Hartford CT 06110 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1232330 | CSP.0057796 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1488797 | 1.058192-RES | Resident Physician | 2014-06-28 | 2014-06-28 - 2018-06-30 | INACTIVE |
| Street Address | 445 South Main St |
| City | West Hartford |
| State | CT |
| Zip Code | 06110 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison Norman · Charley's Place | 445 South Main St, West Hartford, CT 06067 | Restaurant Liquor | 1999-12-30 ~ 2000-12-29 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Dahal Kalpana | 10 C Steven St, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | West Hartford |
| Zip Code | 06110 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Diana Hull Md | Po Box 931, Middletown, CT 06457-0931 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana Harbison | Po Box 556, Essex, CT 06426-0556 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana P. Lewis | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Maria M Messina Md | 19 Diana Dr, Woodbridge, CT 06525-1216 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert D Messina Md | 19 Diana Dr., Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Diana M Adams | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Perin W Diana Jr | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Daniel J Diana | 42 Bluff St, Westbrook, CT 06498 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana Anca | 100 Riverside Blvd, New York, NY 10069 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
Please comment or provide details below to improve the information on DIANA M RODRIGUEZ.
| 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).