SCOTT ALLEN MD (Credential# 551088) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SCOTT ALLEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033489. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Clinical Operations, Farmington, CT 06030-3802. The current status is active.
| Licensee Name | SCOTT ALLEN MD |
| Business Name | UNIV OF CONN HEALTH CENTER |
| Credential ID | 551088 |
| Credential Number | 1.033489 |
| Credential Type | Physician/Surgeon |
| Business Address |
Clinical Operations Farmington CT 06030-3802 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-01-28 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 430058 | CSP.0038838 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-02-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 162866 | CSP.0021884 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-17 - 2011-02-28 | INACTIVE |
| Street Address | Clinical Operations |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-3802 |
| 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 |
|---|---|---|---|
| Univ of Conn Health Center · Prof James M Watras | Dept of Cardiology, Farmington, CT 06030 | Controlled Substance Laboratory | 1995-02-08 ~ 1996-01-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Harold T Yamase Md | Univ of Conn Health Center, Farmington, CT 06032 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Mauro Leo Md · Univ of Conn Health Ctr | Ob/gyn Mc2950, Farmington, CT 06030 | Physician/surgeon | 2002-05-28 ~ 2003-05-31 |
| Orlando V Morejon Md | Univ of Conn Health Ctr Mc 3955, Rocky Hill, CT 06067 | Physician/surgeon | 2005-10-25 ~ 2006-02-28 |
| Andrew Arnold Md · University of Conn Health Center | Uconn Health Center, Farmington, CT 06030-3101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Univ of Conn Health Ctr Neuro Science Mc 3401 · Shigeyuki Kuwada Professor | 263 Farmington Ave, Farmington, CT 06030 | Controlled Substance Laboratory | 2003-02-01 ~ 2004-01-31 |
| Gale R Ramsby Md | Univ of Ct Health Center, Farmington, CT 06032 | Physician/surgeon | 2000-07-21 ~ 2001-09-30 |
| Philip A Stent Md | Univ of Ct Health Center, Farmington, CT 06032 | Physician/surgeon | 2003-02-25 ~ 2004-02-29 |
| Ruthanne C Reichert | Univ of Conn Health Center, Farmington, CT 06030-2801 | Registered Nurse | 2000-01-14 ~ 2001-02-28 |
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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).