JOSEPH FABLE (Credential# 1531004) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 12, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
JOSEPH FABLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004239. The credential type is physician assistant. The effective date is September 12, 2018. The expiration date is June 30, 2019. The business address is One Hospital Plaza, Stamford, CT 06904-9317. The current status is inactive.
| Licensee Name | JOSEPH FABLE |
| Credential ID | 1531004 |
| Credential Number | 23.004239 |
| Credential Type | Physician Assistant |
| Business Address |
One Hospital Plaza Stamford CT 06904-9317 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-09-12 |
| Effective Date | 2018-09-12 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1533629 | CSP.0069205 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-12 | 2018-09-12 - 2019-02-28 | LAPSED |
| Street Address | One Hospital Plaza |
| City | Stamford |
| State | CT |
| Zip Code | 06904-9317 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Monique Smith | One Hospital Plaza, Stamford, CT 06904 | Notary Public Appointment | 2018-06-29 ~ 2023-06-30 |
| Valeria Grijalva | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Anna Stransky | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Krista Dionne | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Mahta Salehi | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Mariana Chang | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Lifan Hsu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Nneka Nwachukwu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Marissa Novack | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Paul D Bobby Md | One Hospital Plaza, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Hospital, The | Po Box 9317, Stamford, CT 06904-9317 | General Hospital | 2019-07-01 ~ 2021-06-30 |
| Barbara Andrianus | 96 Strawberry Hill Avenue, Stamford, CT 06904-9317 | Pharmacy Technician | 2011-04-01 ~ 2012-03-31 |
| Ilana Nossel | Dept. of Psychiatry, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Draupathi E Nambudiri Md · Stamford Hospital | Po Box 9317, Stamford, CT 06904-9317 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Diane M Durgan | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-05-07 ~ 2021-02-28 |
| Kristin Mccoy | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David H Hsi | Po Box 9317, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald Dinsmore Md | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Joy Brotherton | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Talia Rosenzweig Md | Stamford Hospital, Stamford, CT 06904-9317 | Controlled Substance Registration for Practitioner | 2006-03-09 ~ 2007-02-28 |
| Find all Licenses in zip 06904-9317 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwok Ming S Lo | Bennett Cancer Center, Stamford, CT 06904 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shahrzad Mohammadi Md | The Stamford Hospital, Stamford, CT 06904 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elaine Colandro | 217 Southfield Ave, Stamford, CT 06904 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Carla-vanessa Ruiz | 112 Pine Hill Avenue 2, Stamford, CT 06904 | Notary Public Appointment | 2013-08-01 ~ 2018-07-31 |
| Gerald L Vincent | P O Box 904, Stamford, CT 06904 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Angelico F Fontaine | P.o. Box 122, Stamford, CT 06904 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Sonia Laureano | 84 Toros Ave, Stamford, CT 06904 | Family Child Care Substitute | ~ |
| John F Revay | 100 Maple Tree Avenue Apt C, Stamford, CT 06904 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Michael's Fine Painting LLC | P.o Box 196, Stamford, CT 06904 | Home Improvement Contractor | 2019-03-06 ~ 2019-11-30 |
| Gustavo Held | Box 10957, Stamford, CT 06904 | Notary Public Appointment | 1987-07-01 ~ 1992-03-31 |
| Find all Licenses in zip 06904 | |||
| City | Stamford |
| Zip Code | 06904 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fable Farm Group LLC | 33 Fable Farm Rd, New Canaan, CT 06840-4302 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Joseph Santoro Pa | St Joseph Medical Ctr Surgery, Stamford, CT 06904 | Physician Assistant | 2004-11-01 ~ 2005-09-30 |
| Fable Chardonnay California | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-04-06 ~ 2021-04-05 |
| Folk & Fable California | Ct Registration Brand, Hartford, CT 06103 | Liquor Brand Label | 2018-11-19 ~ 2021-11-18 |
| Christy Joseph | 5 Maidstone Ln, Monroe, NY 10950-3052 | Physician Assistant | ~ |
| Joseph F Berlenbach | 20 Murphy Ln, Southbury, CT 06488-2760 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Joseph P Heimbauer | 156 Dartmouth Rd, Massapequa, NY 11758-8124 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Roodolph Joseph | 13428 230th St, Laurelton, NY 11413-2526 | Physician Assistant | ~ |
| Joseph Carl Vanderhyde | 85 Retreat Ave, Hartford, CT 06106-2555 | Physician Assistant | ~ |
| Joseph P Kocot | 155 Windermere Ave, Ellington, CT 06029 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on JOSEPH FABLE.
| 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).