Benedict L. L FERNANDO MD (Credential# 541998) 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.
Benedict L. L FERNANDO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016636. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 687 Campbell Ave, West Haven, CT 06516. The current status is active.
| Licensee Name | Benedict L. L FERNANDO MD |
| Credential ID | 541998 |
| Credential Number | 1.016636 |
| Credential Type | Physician/Surgeon |
| Business Address |
687 Campbell Ave West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1974-05-07 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-09 |
| Street Address | 687 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Minori Korn | 687 Campbell Ave, West Haven, CT 06516-3774 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anuruddha Walaliyadda | 687 Campbell Ave, West Haven, CT 06516-3774 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joseph A. Balsamo | 687 Campbell Ave, West Haven, CT 06516-3774 | Controlled Substance Registration for Practitioner | 2019-06-19 ~ 2021-02-28 |
| Benedict Fernando Md | 687 Campbell Ave, West Haven, CT 06516-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando Mejia | Box 508, Norwich, CT 06360 | Physician/surgeon | 1995-05-26 ~ 1996-06-30 |
| Fernando Losada | Po Box 155, Sharon, CT 06069 | Physician/surgeon | 2004-03-30 ~ 2005-03-31 |
| Fernando R Diaz | 14171 Valentine Trl, Largo, FL 33774-2834 | Physician/surgeon | ~ |
| Sanjay Fernando Md | 1 Herald Sq, New Britain, CT 06051-5006 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Fernando E Ottino | 40 Prospect Ave., Norwalk, CT 06850 | Physician/surgeon | 2009-06-19 ~ 2009-11-30 |
| Kumudhini Fernando | 46 Grouse Ln, Woodbridge, CT 06525-1451 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Fernando J. Martinez | 300 Cedar St # Tacs441, New Haven, CT 06519-1612 | Physician/surgeon | ~ |
| Fernando Afonso Md | 5 Wisteria Ln, Oxford, CT 06478 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Fernando Sanchez Md | 1 Washington Sq, New Britain, CT 06051 | Physician/surgeon | 1998-01-13 ~ 1999-02-28 |
| Fernando P Saracco | 2690 Whitney Ave, Hamden, CT 06518 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on Benedict L. L FERNANDO 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).