MICHAEL DIBIANCO (Credential# 1487828) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHAEL DIBIANCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057491-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 80 Seymour Street, Hartford, CT 06102. The current status is active.
| Licensee Name | MICHAEL DIBIANCO |
| Credential ID | 1487828 |
| Credential Number | 1.057491-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
80 Seymour Street Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-01 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2019-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1359356 | CSP.0063038 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1593027 | 1.061967 | Physician/Surgeon | 2018-09-26 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 80 Seymour Street |
| City | Hartford |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Faiqa A Cheema | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kristen Marie Guida | 80 Seymour Street, Hartford, CT 06102 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline Rheiner | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph A Radojevic | 80 Seymour Street, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Danielle D Soneson | 80 Seymour Street, Hartford, CT 06102 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| April L Goller Do | 80 Seymour Street, Hartford, CT 06106-2579 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffanie C Weaver | 80 Seymour Street, Hartford, CT 06102 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Craig B Moskowitz | 80 Seymour Street, Hartford, CT 06102-5037 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Lauren E Curtis | 80 Seymour Street, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Susan Kim | Hartford Hospital - Radiation Oncology, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | Hartford |
| Zip Code | 06102 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Kuo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Michael Nowicki | 155 Joy Rd, Waterbury, CT 06708-2464 | Resident Physician | 2013-06-28 ~ 2019-06-27 |
| Michael E. Gotlib | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2018-06-30 |
| Michael Fong Md | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-12 ~ 2021-06-30 |
| Michael S Disiena | 125 Primrose Dr, Somers, NY 10589-2810 | Resident Physician | 2015-06-28 ~ 2021-06-30 |
| Michael O'neill | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
| Michael T. Geraghty | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
| Michael A Persaud | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Grant | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Michael Rubin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-08-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MICHAEL DIBIANCO.
| 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).