CURTIS LYLE CAMPBELL (Credential# 1499617) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CURTIS LYLE CAMPBELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060505. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 888 White Plains Rd Ste 105, Trumbull, CT 06611-4552. The current status is active.
| Licensee Name | CURTIS LYLE CAMPBELL |
| Credential ID | 1499617 |
| Credential Number | 1.060505 |
| Credential Type | Physician/Surgeon |
| Business Address |
888 White Plains Rd Ste 105 Trumbull CT 06611-4552 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1618830 | CSP.0069955 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-06 | 2018-12-06 - 2021-02-28 | ACTIVE |
| Street Address | 888 WHITE PLAINS RD STE 105 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4552 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Kaplan | 888 White Plains Rd Ste 202, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2020-01-31 ~ 2021-02-28 |
| Daniel J Passeri | 888 White Plains Rd Ste 206, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Primed Gastroenterology LLC · Fairfield County Endoscopy Center | 888 White Plains Rd Ste 210, Trumbull, CT 06611-4552 | Out-patient Surgical Facility | 2015-01-01 ~ 2016-12-31 |
| Mark E Wilchinsky | 888 White Plains Rd, Trumbull, CT 06611-4552 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Fairfield County Endoscopy Center | 888 White Plains Rd, Trumbull, CT 06611-4552 | Out-patient Surgical Facility | 2019-04-01 ~ 2021-03-31 |
| Nathan Douglass | 888 White Plains Rd, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel G Sica | 888 White Plains Road, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sara L Richer Md | 888 White Plains Rd, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles Neiditz Md | 888 White Plains Rd, Trumbull, CT 06611-4552 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| H Lyle Stotts Md | 5 Dunaway Dr, Richmond, VA 23233 | Physician/surgeon | 2007-02-12 ~ 2008-03-31 |
| John R Lyle Jr | Po Box 3455, Albuquerque, NM 87190-3455 | Physician/surgeon | 1996-10-10 ~ 1997-11-30 |
| Stephen R Lyle | 156 Walnut St, Wellesley Hills, MA 02481-3335 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Daniel Lyle Noffsinger | 627 Lynn Shores Dr, Virginia Beach, VA 23452 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Marie Pierre-louis Kima Md | 6 Lyle Court, Farmington, CT 06032 | Physician/surgeon | 1999-04-19 ~ 2000-03-31 |
| David E Curtis | 85 Seymour St Ste 415, Hartford, CT 06106-5523 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| John P Curtis | Rr1 Box 406f, Millbrook, NY 12545 | Physician/surgeon | 1995-06-01 ~ 1996-06-30 |
| Jeptha P Curtis Md | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Curtis A Mock | 23 Kelton St, Rehoboth, MA 02769 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Melanie B Mund | 88 Curtis Dr, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on CURTIS LYLE CAMPBELL.
| 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).