JO-ANNE PASSALACQUA MD (Credential# 553443) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JO-ANNE PASSALACQUA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035850. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 115 Lords Hwy, Weston, CT 06883-1715. The current status is active.
| Licensee Name | JO-ANNE PASSALACQUA MD |
| Business Name | STILLSON PLAZA |
| Credential ID | 553443 |
| Credential Number | 1.035850 |
| Credential Type | Physician/Surgeon |
| Business Address |
115 Lords Hwy Weston CT 06883-1715 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-02-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 180062 | CSP.0025430 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 115 LORDS HWY |
| City | WESTON |
| State | CT |
| Zip Code | 06883-1715 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan H Chapin · Tilghman & Frost R E Inc | 115 Lords Hwy, Weston, CT 06883 | Real Estate Salesperson | 1996-06-01 ~ 1997-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Buffardi IIi | 39 Tannery Lane South, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia S Rosen | 5 Walker Lane, Weston, CT 06883 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Susan E Scheufele | 23 Heritage Lane, Weston, CT 06883 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Laurie A Figliola | 12 Grays Farm Road, Weston, CT 06883 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Peggy S Bud | 32 Gray's Farm Road, Weston, CT 06883 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| William Kessinger | 30 Rogues Ridge, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nancy Gorlow Thiel | 69 Lyons Plain Rd, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| John R Verelley | 103 Elven O'clock Road, Weston, CT 06883 | Architect | 2020-08-01 ~ 2021-07-31 |
| Samuel Bell Jr | 65 Beaver Brook Rd, Weston, CT 06883 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Marilyn Silverman | 16 North Calvin Rd, Weston, CT 06883 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06883 | |||
| City | WESTON |
| Zip Code | 06883 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Murray A Morrison | 110 Stillson Rd, Fairfield, CT 06825-3212 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Elenita Espina-lee Md | 309 Stillson Rd, Fairfield, CT 06825-3213 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Sanjeev Rao Md | 309 Stillson Road, Fairfield, CT 06824 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anita G Beneke Md | 134 Stillson Road, Fairfield, CT 06432-3212 | Physician/surgeon | 2001-11-20 ~ 2003-01-31 |
| Ronald I Blumenfeld | 1185 Stillson Road, Fairfield, CT 06824 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Eu-meng Law | 100 Un Plaza, New York, NY 10017 | Physician/surgeon | 2008-03-17 ~ 2009-05-31 |
| Hye Eun Kwon | 14 Rye Ridge Plaza, Rye Brook, NY 10573 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Larysa Hun | 20 Waterside Plaza, New York, NY 10010 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Kavitha Rajarathnam | 702 Plaza Dr, Woodbridge, NJ 07095-1113 | Physician/surgeon | 2013-01-09 ~ 2014-01-31 |
| Jay D Freilich | 4 Hosptial Plaza, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).