JOHN K MENOUTIS MD (Credential# 553539) 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.
JOHN K MENOUTIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035946. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Uconn Health Center, Farmington, CT 06030. The current status is active.
| Licensee Name | JOHN K MENOUTIS MD |
| Credential ID | 553539 |
| Credential Number | 1.035946 |
| Credential Type | Physician/Surgeon |
| Business Address |
Uconn Health Center Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-04-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 181010 | CSP.0025552 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | UCONN HEALTH CENTER |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Andrew Arnold Md · University of Conn Health Center | Uconn Health Center, Farmington, CT 06030-3101 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lavern A Wright Md | Uconn Health Center, Farmington, CT 06030-5215 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Carla J Rash | Uconn Health Center, Farmington, CT 06030 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Garry W Turner | Uconn Health Center, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denis C Lafreniere Md | Uconn Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kamran E Safavi | Uconn Health Center, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah Redford-badwal Dds | Uconn Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jacqueline Duncan | Uconn Health Center, Farmington, CT 06030-1615 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeffrey B Gross | Uconn Health Center, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| 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 |
| 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 |
| Adrienne B Berke Md | Uconn Health Ctr Dermatology Mc-6230, Farmington, CT 06030 | Physician/surgeon | 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 |
|---|---|---|---|
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ourania Menoutis | 12 Pheasant Hill Road, Canton, CT 06019 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Aphrodite Menoutis-besse | 19 Bridlepath Road, West Simsbury, CT 06092 | Notary Public Appointment | 2018-05-01 ~ 2023-04-30 |
| John S Kennedy | Psc 836 Box 56 | Physician/surgeon | 2002-03-19 ~ 2002-12-31 |
| John C Radford | Po Box 248, Ellicottville, NY 14731-0248 | Physician/surgeon | ~ |
| John M De Figueiredo | Cheshire, CT 06410 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| John N Matheson | Po Box 127, Waverley Nsw, 2024 | Physician/surgeon | 1996-01-17 ~ 1996-12-31 |
| John T Simonton | 66 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1993-09-23 ~ 1994-08-31 |
| John A Day Jr | P.o. Box 1018, Woodstock, CT 06281 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John C Daniels | Po Box 788, Pawling, NY 12564 | Physician/surgeon | 1999-05-06 ~ 2000-05-31 |
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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).