JERRY P MALEFATTO MD (Credential# 160344) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JERRY P MALEFATTO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0018478. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5520 Park Avenue, Trumbull, CT 06611. The current status is active.
| Licensee Name | JERRY P MALEFATTO MD |
| Credential ID | 160344 |
| Credential Number | CSP.0018478 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5520 Park Avenue Trumbull CT 06611 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 548893 | 1.031058 | Physician/Surgeon | 1990-08-17 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 5520 Park Avenue |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gina L Foote | 5520 Park Avenue, Trumbull, CT 06611 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Andrew F Cutney Md | 5520 Park Avenue, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bhawna Gupta Md | 5520 Park Avenue, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shareef Jandali Md | 5520 Park Avenue, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| William R Mcqueen Jr | 5520 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marina Torbey Md | 5520 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elchanan Orlansky | 5520 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Harold H Tara Jr | 5520 Park Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kieve M Berkwits Md | 5520 Park Avenue, Trumbull, CT 06611 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Child's World Academy | 5520 Park Avenue, Trumbull, CT 06611 | Child Care Center | 2013-11-01 ~ 2017-10-31 |
| Find all Licenses in the same address | |||
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jerry Lai Md | 167 Purchase Street, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jerry C Lee Md | 5 Mercy Street, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jerry Rosenfeld | 27 Woodhaven Dr, Simsbury, CT 06070-2642 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jerry Neuwirth | 85 Seymour St, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerry W Chang | 111 Park St #4t, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-13 ~ 2005-02-28 |
| Jerry Crawford | 33 Foothills Way, Bloomfield, CT 06002-0896 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Jerry A Ferrentino | 140 Clark St, Milford, CT 06460-8427 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jerry Brewer Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Jerry A Green | 67 Aunt Hack Rd., Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David L Farrington Pa | 95 Jerry Daniels Rd, Marlborough, CT 06447-1231 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).