ANTONIO COSTANTINO (Credential# 1489230) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
ANTONIO COSTANTINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058476-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 328 Campbell Ave, West Haven, CT 06516-5330. The current status is active.
| Licensee Name | ANTONIO COSTANTINO |
| Credential ID | 1489230 |
| Credential Number | 1.058476-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
328 Campbell Ave West Haven CT 06516-5330 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-03-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1329363 | CSP.0061986 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-01-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1495640 | 1.061722 | Physician/Surgeon | 2018-08-08 | 2020-01-01 - 2020-12-31 | ACTIVE |
| Street Address | 328 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-5330 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin M Stawiarski | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony J Taggert | 340 Campbell Ave, West Haven, CT 06516-5330 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Bruce Martel | 362 Campbell Ave, W Haven, CT 06516-5330 | Flat Glass Unlimited Contractor | 2009-09-16 ~ 2010-08-31 |
| Archie R Griffith Sr | 362 Campbell Ave, West Haven, CT 06516-5330 | Flat Glass Unlimited Contractor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Antonio Costantino Sr | 328 Campbell Ave., West Haven, CT 06516 | Barber | 2019-04-01 ~ 2021-03-31 |
| Nirav Das | 9414 Box Elder Hl, San Antonio, TX 78254-6926 | Resident Physician | 2016-06-27 ~ 2019-06-30 |
| Ivan Antonio Gonzalez | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nathaniel Evan Smith | 3551 Roger Brooke Dr., San Antonio, TX 78234 | Resident Physician | 2018-07-01 ~ 2020-06-30 |
| Antonio Cusano | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| David A Costantino | 1746 Cole Blvd Ste 150, Lakewood, CO 80401-3267 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Peter D Costantino | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Costantino Nero D'avola | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-01-16 ~ 2018-01-15 |
| John D'antonio · D'antonio Landscaping Inc | 73 Winfield St, East Norwalk, CT 06855 | Home Improvement Contractor | 1996-02-16 ~ 1996-11-30 |
| Antonio's Upholstery · Antonio Tadeau | 22 Mcdermott St, Danbury, CT 06810 | Manufacturer of Bedding & Upholstered Furniture | 1994-05-15 ~ 1995-05-15 |
Please comment or provide details below to improve the information on ANTONIO COSTANTINO.
| 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).