EVAN SCOTT LEVINE (Credential# 1505786) 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.
EVAN SCOTT LEVINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061430. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 170 Lounsbury Rd, Ridgefield, CT 06877-4725. The current status is active.
| Licensee Name | EVAN SCOTT LEVINE |
| Credential ID | 1505786 |
| Credential Number | 1.061430 |
| Credential Type | Physician/Surgeon |
| Business Address |
170 Lounsbury Rd Ridgefield CT 06877-4725 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1525801 | CSP.0068783 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 170 LOUNSBURY RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-4725 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Homefront Farmers LLC | 190 Lounsbury Rd, Ridgefield, CT 06877-4725 | Food Manufacturing Establishment | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan Levine | 29 Lady Godiva Way, New City, NY 10956-6349 | Physician/surgeon | 2020-04-16 ~ 2021-04-30 |
| Evan M Ginsberg | Po Box 530, Winhall, VT 05340-0530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Eli S Levine Md | 224 Gleneagles Cir, Broussard, LA 70518 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Alyson Levine | 9 Ann Lane, Rye, NY 10580 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Evan H Bellin Md | 47 Lispenard Ave, New Rochelle, NY 10801-4420 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan Fox | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Evan J Tilley Md | 52 Newton St, Fairfield, CT 06824-6926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Evan Kurz | 59 Rymph Rd, Lagrangeville, NY 12540 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph M Pruner | 111 Evan Rd, Southington, CT 06489-4107 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan Wasserman Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on EVAN SCOTT LEVINE.
| 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).