ERNESTO CANALIS MD (Credential# 541884) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ERNESTO CANALIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016393. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is University of Connecticut Health Center, Farmington, CT 06030-0001. The current status is active.
| Licensee Name | ERNESTO CANALIS MD |
| Credential ID | 541884 |
| Credential Number | 1.016393 |
| Credential Type | Physician/Surgeon |
| Business Address |
University of Connecticut Health Center Farmington CT 06030-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1974-01-04 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147165 | CSP.0004362 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 2007340 | CSL.0001294 | CONTROLLED SUBSTANCE LABORATORY | - | PENDING |
| Street Address | UNIVERSITY OF CONNECTICUT HEALTH CENTER |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristina F Zdanys | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theresa Barnett Aprn | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chantal Barbara Bartels | University of Connecticut Health Center, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marja M Hurley | University of Connecticut Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Vincent J Williams | University of Connecticut Health Center, Farmington, CT 06030-4037 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| William Stanley Shaw | University of Connecticut Health Center, Farmington, CT 06030-0001 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Chaitanya P Puranik | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2018-03-14 ~ 2019-02-28 |
| Ahmet O Keles | University of Connecticut Health Center, Farmington, CT 06030 | Dentist | 2003-04-21 ~ 2004-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wendy A Miller | Mc1921 Farmington Ave # 263, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jason J Ziegler | 2 Courthouse Square, Farmington, CT 06030-0001 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bryden T Considine | L2104 of Medicine Rm, Farmington, CT 06030-0001 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Dillon Paulo | 4260 Cordoba Ct, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Omar Ibrahim | 263 Farmington Ave # Mc-1321, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jillian L Fortier | Uconn Health Center, Department of Surgery, Farmington, CT 06030-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas Zelisko | 263 Farmington Ave Dept Of, Farmington, CT 06030-0001 | Physician/surgeon | 2020-04-23 ~ 2021-01-31 |
| Ruchir D Trivedi | 263 Farmington Ave # Mc-1405, Farmington, CT 06030-0001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Rawan J.j. Sarsour | 263 Farmington Ave # Mc3905, Farmington, CT 06030-0001 | Provisional Faculty Dentist | 2020-04-21 ~ 2021-04-30 |
| Find all Licenses in zip 06030-0001 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | FARMINGTON |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernesto Ang Md | 6 Stonybrook Rd, Brookfield, CT 06805 | Physician/surgeon | 2008-08-18 ~ 2009-08-31 |
| Ernesto Roederer | 24 Walden Street, Whitneyville, CT 06517 | Physician/surgeon | 1992-09-24 ~ 1993-09-30 |
| Ernesto D Hendler | 11 Inwood Road, Woodbridge, CT 06525 | Physician/surgeon | 1993-09-23 ~ 1994-10-31 |
| Jorge Ernesto Perez Torres | 1004 N 41st St, Mcallen, TX 78501 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kathleen Canalis | 99 Fallview Dr, Storrs, CT 06033 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Donna M Canalis | 30 Echo Ln, South Glastonbury, CT 06073-2500 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ernesto Catena Padrillo Malbec | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-30 ~ 2020-10-15 |
| Ernesto Catena Siesta Malbec | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-30 ~ 2020-10-15 |
| Ernesto Catena Padrillo Torrontes | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-10-18 ~ 2014-10-17 |
| Ernesto Cateno Padrillos Malbec | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-06-04 ~ 2012-06-03 |
Please comment or provide details below to improve the information on ERNESTO CANALIS MD.
| 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).