AMANDA QUIJANO (Credential# 1516782) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
AMANDA QUIJANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061023-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 16 Turkey Hill Rd, Durham, CT 06422-1031. The current status is active.
Licensee Name | AMANDA QUIJANO |
Credential ID | 1516782 |
Credential Number | 1.061023-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
16 Turkey Hill Rd Durham CT 06422-1031 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-13 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-06-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1514023 | CSP.0068053 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 16 TURKEY HILL RD |
City | DURHAM |
State | CT |
Zip Code | 06422-1031 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Megan L Panico | 56 Turkey Hill Rd, Durham, CT 06422-1031 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Herralan O Noel-vulpe Aprn | 51 Turkey Hill Rd, Durham, CT 06422-1031 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
Yidi Ge | 39 Turkey Hill Rd, Durham, CT 06422-1031 | Controlled Substance Registration for Practitioner | 2020-06-08 ~ 2021-02-28 |
Lilian Azih | 28 Turkey Hill Rd, Durham, CT 06422-1031 | Controlled Substance Registration for Practitioner | 2019-04-03 ~ 2021-02-28 |
Brad T Panico | 56 Turkey Hill Rd, Durham, CT 06422-1031 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jonathan A Luysterborghs | 208 Blue Hills Road, Durham, CT 06422 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Trinh Tu Tran | 10 Cesca Lane, Durham, CT 06422 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Beseck Mountain Rescue Inc | 68r Middlefield Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | 2007-10-15 ~ |
Mary E Gossart | 35 Maiden Lane, Durham, CT 06422 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Jayshreebahen Bidja · Little Rooster Liquors | 363 Main St, Durham, CT 06422 | Package Store Liquor | 2020-08-09 ~ 2021-08-08 |
Erica Espinoza | 163 Stage Coach Rd, Durham, CT 06422 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Adrienne Lynn Deschnow | 419 R Johnson Lane, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Lynda S Collins · Robison | 649 Wallingford Road, Durham, CT 06422 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Pierino Peter Cascini | 425 Main Street, Durham, CT 06422 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Leila K Markunas | 250 Skeetclub Road, Durham, CT 06422 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06422 |
City | DURHAM |
Zip Code | 06422 |
License Type | Resident Physician |
License Type + County | Resident Physician + DURHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
Amanda J Neider | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2021-06-27 |
Amanda Maame Esi Ocran | 925 Mix Ave Apt T4, Hamden, CT 06514-5117 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
Amanda Chiapa | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
Amanda Ellis Van Scoyoc | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
Amanda S Tissot | 262 Mills Cross Rd, Staatsburg, NY 12580-5401 | Resident Physician | 2017-06-22 ~ 2021-06-30 |
Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
Amanda V O'meara | 823a Malletts Bay Ave, Colchester, VT 05446 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Amanda Lynn Hernandez | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Amanda K Cavanaugh | 331 Ridgewood Rd, West Hartford, CT 06107-3537 | Resident Physician | 2015-07-01 ~ 2022-06-30 |
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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).