MICHAEL DIBIASE (Credential# 1644307) 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.
MICHAEL DIBIASE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063949. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 377 Park Rd Apt 1, West Hartford, CT 06119-1918. The current status is active.
| Licensee Name | MICHAEL DIBIASE |
| Credential ID | 1644307 |
| Credential Number | 1.063949 |
| Credential Type | Physician/Surgeon |
| Business Address |
377 Park Rd Apt 1 West Hartford CT 06119-1918 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-15 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1675840 | CSP.0071938 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-15 | 2019-07-15 - 2021-02-28 | ACTIVE |
| Street Address | 377 PARK RD APT 1 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1918 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joey's Pizza Pie | 353 Park Rd, West Hartford, CT 06119-1918 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Anthony John Sullo · Joey's Pizza Pie | 353 Park Rd, West Hartford, CT 06119-1918 | Restaurant Wine & Beer | 2019-07-01 ~ 2020-10-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael N Dibiase | 40 Musket Ridge Rd, New Fairfield, CT 06812 | Emergency Medical Technician | ~ |
| Greg Dibiase Carpentry | 72 Old North Rd, Barkhamsted, CT 06063 | Home Improvement Contractor | ~ |
| Dibiase - India Pale Ale | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-02-22 ~ 2022-02-21 |
| Michael Lynch Cummings | CT | Physician/surgeon | 1989-12-22 ~ |
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael D Savarese | P.o.box 142, Roxbury, CT 06783-0142 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| V Subramoni | 8 Michael Way, Pennington, NJ 08534 | Physician/surgeon | 2000-08-18 ~ 2001-05-31 |
| Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Michael Yuz | P.o. Box 1395, Medford, NJ 08055 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Please comment or provide details below to improve the information on MICHAEL DIBIASE.
| 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).