LUISA F GONZALEZ BALLESTEROS (Credential# 1490716) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 27, 2014. The license expiration date date is June 30, 2020. The license status is ACTIVE.
LUISA F GONZALEZ BALLESTEROS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058818-RES. The credential type is resident physician. The effective date is June 27, 2014. The expiration date is June 30, 2020. The business address is 185 Canal St, Shelton, CT 06484. The current status is active.
| Licensee Name | LUISA F GONZALEZ BALLESTEROS |
| Credential ID | 1490716 |
| Credential Number | 1.058818-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
185 Canal St Shelton CT 06484 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-27 |
| Effective Date | 2014-06-27 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1218217 | CSP.0057036 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-07 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 185 Canal St |
| City | Shelton |
| State | CT |
| Zip Code | 06484 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Mcghee | 185 Canal St, Shelton, CT 06484 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Michelle Pavlick | 185 Canal St, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Chelsea Rebecca Young | 185 Canal St, Shelton, CT 06484-8121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manshi Valluri Mallepogu | 185 Canal St, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2015-06-17 ~ 2017-02-28 |
| Donald J. Siclari | 185 Canal St, Shelton, CT 06484 | Certified Public Accountant License | 2013-01-01 ~ 2013-12-31 |
| Tilcon Ct Inc | 185 Canal St, Shelton, CT 06484 | Operator of Weighing & Measuring Devices | 2006-08-01 ~ 2007-07-31 |
| Island Asphalt · Dan Beard Inc Dba | 185 Canal St, Shelton, CT 06484 | Operator of Weighing & Measuring Devices | 1999-08-01 ~ 2000-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | Shelton |
| Zip Code | 06484 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Shelton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ana Luisa J Perdigoto | 66 Orange St Apt 311, New Haven, CT 06510-3143 | Resident Physician | 2014-06-27 ~ 2021-06-30 |
| Emily Luisa Savoca | 34 Squaw Brook Road, Branford, CT 06405 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Luisa M Bernacet-rivera | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Carolyn Loy Gonzalez | 42 Mattabasset Dr, Meriden, CT 06450-7429 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ivan Antonio Gonzalez | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Javier Ballester Gonzalez | 300 George Street, Suite 901, New Haven, CT 06511 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
| Maria Luisa Gonzalez | 91 Marshall St, Wallingford, CT 06492-4032 | Family Child Care Home | 2018-08-01 ~ 2022-07-31 |
| Kayla Gonzalez | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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| 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).