ZANETA ABA BENTSIWA FORSON-DARE (Credential# 1491674) 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, 2021. The license status is ACTIVE.
ZANETA ABA BENTSIWA FORSON-DARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059409-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 835 Mix Avenue, Hamden, CT 06514. The current status is active.
| Licensee Name | ZANETA ABA BENTSIWA FORSON-DARE |
| Credential ID | 1491674 |
| Credential Number | 1.059409-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
835 Mix Avenue Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1358115 | CSP.0062976 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1656925 | 1.064010 | Physician/Surgeon | 2019-07-24 | 2019-07-24 - 2020-05-31 | ACTIVE |
| Street Address | 835 Mix Avenue |
| City | Hamden |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nidhi N Saraiya | 835 Mix Avenue, Hamden, CT 06514 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Samantha M Allen | 835 Mix Avenue, Hamden, CT 06514 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ian Reid | 835 Mix Avenue, Hamden, CT 06611 | Medication Administration Certification | 2019-02-15 ~ 2021-02-14 |
| Natacha M Cruz | 835 Mix Avenue, Hamden, CT 06514 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jennifer Hernandez | 835 Mix Avenue, Hamden, CT 06514 | Notary Public Appointment | 2012-09-01 ~ 2017-08-31 |
| Usama T Hussein | 835 Mix Avenue, Hamden, CT 06514 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Deborah B Cole Pa-c | 835 Mix Avenue, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Xinqi Dong Md | 835 Mix Avenue, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| John M Caldarella | 835 Mix Avenue, Hamden, CT 06514 | Notary Public Appointment | 1978-08-01 ~ 1983-03-31 |
| Irma Carbone | 835 Mix Avenue, Hamden, CT 06514 | Notary Public Appointment | 1975-12-01 ~ 1980-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | Hamden |
| Zip Code | 06514 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hamden |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Dare · Dare Remodeling and Design | 104 Boston Post Rd, Old Lyme, CT 06371 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Aylin S Ulku Md | 6634 Dare Cir, Columbia, SC 29206-1127 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Dare Building & Remodeling LLC | 8 Foster Ln, Ivoryton, CT 06442-1043 | Home Improvement Contractor | 2020-01-21 ~ 2020-11-30 |
| Dare Family Services Inc | 3 Allied Drive, Dedham, MA 02026 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Dare Tempranillo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-11-22 ~ 2011-11-20 |
| Dare 2 Share Ministries Inc | 4850 Ward Rd Ste 201, Wheat Ridge, CO 80033-2104 | Public Charity-exempt From Financial Requirements | 2012-02-22 ~ |
| East Lyme Dare | P.o. Box 519, Niantic, CT 06357 | Public Charity | ~ |
| Dare To Dream Charities Inc. | 34 Sam Street, Enfield, CT 06082 | Public Charity-exempt From Financial Requirements | ~ |
| Double Dog Dare Chardonnay | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-11-06 ~ 2021-11-04 |
| Double Dog Dare Moscato | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-11-26 ~ 2021-11-18 |
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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).