LOUIS DELLAVALLE MD
Physician/surgeon


Address: 365 Benham Hill Rd, West Haven, CT 06516

LOUIS DELLAVALLE MD (Credential# 540078) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

LOUIS DELLAVALLE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011663. The credential type is physician/surgeon. The effective date is January 18, 2007. The expiration date is March 31, 2008. The business address is 365 Benham Hill Rd, West Haven, CT 06516. The current status is inactive.

Basic Information

Licensee Name LOUIS DELLAVALLE MD
Credential ID 540078
Credential Number 1.011663
Credential Type Physician/Surgeon
Business Address 365 Benham Hill Rd
West Haven
CT 06516
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1964-04-08
Effective Date 2007-01-18
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
153293 CSP.0002607 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-03-01 - 2008-02-29 INACTIVE

Office Location

Street Address 365 BENHAM HILL RD
City WEST HAVEN
State CT
Zip Code 06516

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nancy Cabrera Salinas 649 Third Ave., West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2021-07-31
Lauralee L Gaglio 27 Peppermill Drive, West Haven, CT 06516 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Evelyn Ruiz Conant 309 Terrace Ave, Unit 42, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Junqin Wang 15 Central Ave West Haven, West Haven, CT 06516 Nail Technician ~
Mehmet Sofuoglu Md Va Conn Healthcare System, West Haven, CT 06516 Physician/surgeon 2020-09-01 ~ 2021-08-31
Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
Lourdes Maribel Guzman 26 York Street, West Haven, CT 06516 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Mcdonald's · Tay Mac Dba 1129 Campbell Ave, West Haven, CT 06516 Bakery 2020-07-01 ~ 2021-06-30
Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
Katherine M Grable 13 Perry Merrill Drive, West Haven, CT 06516 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City WEST HAVEN
Zip Code 06516
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEST HAVEN

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Dataset Information

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).

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