VALERIE J VITALE MD (Credential# 550989) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
VALERIE J VITALE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033390. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 291 Queen St, Bristol, CT 06010. The current status is inactive.
Licensee Name | VALERIE J VITALE MD |
Credential ID | 550989 |
Credential Number | 1.033390 |
Credential Type | Physician/Surgeon |
Business Address |
291 Queen St Bristol CT 06010 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-10-29 |
Effective Date | 2018-10-01 |
Expiration Date | 2019-09-30 |
Refresh Date | 2020-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
161725 | CSP.0021621 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-03-01 - 2019-02-28 | LAPSED |
Street Address | 291 QUEEN ST |
City | BRISTOL |
State | CT |
Zip Code | 06010 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julia M. Toto | 291 Queen St, Bristol, CT 06010-6379 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Edward Jk Lee | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Armann O Ciccarelli Md | 291 Queen St, Bristol, CT 06010 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
John J Ho | 291 Queen St, Bristol, CT 06010-6379 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Jeune G Bae | 291 Queen St, Bristol, CT 06010-6379 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Wesley W Holden Md | 291 Queen St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1996-10-17 ~ 1997-02-28 |
Wesley W Holden | 291 Queen St, Bristol, CT 06010 | Physician/surgeon | 1995-11-14 ~ 1996-11-30 |
Armanno W Ciccarelli Md | 291 Queen St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 1993-07-09 ~ 1995-08-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Salvatore Vitale | 26 Ramblewood Ct., Niskayuna, NY 12309 | Physician/surgeon | 2016-09-01 ~ 2017-09-30 |
Lidia F Vitale | 508 Wedgewood Circle, Flemington, NJ 08822 | Physician/surgeon | 1981-01-01 ~ 1994-06-30 |
Mark A Vitale | Orthopaedic & Neurosurgery Specialists, Pllc, Greenwich, CT 06831 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Valerie Goldburt | 289 Taconic Rd, Greenwich, CT 06831-3116 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Valerie A I'anson | 125 Morningside Dr, Milford, CT 06460-7716 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Valerie A Omicioli | 17 Hillhouse Ave, New Haven, CT 06500 | Physician/surgeon | 1984-06-04 ~ 1986-05-31 |
Valerie J White Md | 227 Church St, 13g, New Haven, CT 06510 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
Valerie A Wiseman | 84 Stony Corners Rd, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Kevin P Rosenblatt | 4909 Valerie St, Bellaire, TX 77401-5707 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
Adnan K Raed | 4603 Valerie St, Bellaire, TX 77401 | Physician/surgeon | 1996-02-01 ~ 1997-03-31 |
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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).