DOMENIC W CASABLANCA (Credential# 555192) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DOMENIC W CASABLANCA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037602. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Middlesex Hospital Family Medicine, East Hampton, CT 06424. The current status is active.
| Licensee Name | DOMENIC W CASABLANCA |
| Credential ID | 555192 |
| Credential Number | 1.037602 |
| Credential Type | Physician/Surgeon |
| Business Address |
Middlesex Hospital Family Medicine East Hampton CT 06424 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 212358 | CSP.0028183 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-05-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Middlesex Hospital Family Medicine |
| City | East Hampton |
| State | CT |
| Zip Code | 06424 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert P Zipoli · Zip's Home Improvement | 38 Town Farm Rd, East Hampton, CT 06424 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Timothy R Cirillo | 7 Bevin Blvd., East Hampton, CT 06424 | Sub-surface Sewage Cleaner | 2020-07-01 ~ 2021-06-30 |
| Quentin D Walton | 15 Sherry Dr, East Hampton, CT 06424 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Stephanie M. Miller | 11 Browning Drive, East Hampton, CT 06424 | Emergency Medical Technician | 2020-07-01 ~ 2022-06-30 |
| Humphreys Pharmacal Inc | 31 East High Street, East Hampton, CT 06424 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Robert A Sehl | 72 Childs Road, East Hampton, CT 06424 | Water Treatment Plant Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Debra Ann Licht Mayer | 28 North Cone Road, East Hampton, CT 06424 | Registered Nurse | ~ |
| Patrick U Hammond | 66 Charles Mary Dr, East Hampton, CT 06424 | Backflow Prevention Device Tester | 2020-04-01 ~ 2023-03-31 |
| Kayla Commesso | 7 Sherry Dr, East Hampton, CT 06424 | Medication Administration Certification | 2020-06-22 ~ 2022-06-22 |
| Lauren R Mechanic | 11 South Ridge, East Hampton, CT 06424 | Barber | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06424 | |||
| City | East Hampton |
| Zip Code | 06424 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + East Hampton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Domenic A Zambuto | 4 Ardsley Way, Simsbury, CT 06070 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Domenic A Ciraulo | 720 Harrison Avenue, Boston, MA 02118 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Casablanca Const LLC | 87 Spring St, Hartford, CT 06105 | Home Improvement Contractor | 1996-06-05 ~ 1996-11-30 |
| Rosa Molinardo · Domenic Pizza | 505 Wolcott St, Waterbury, CT 06705 | Restaurant Wine & Beer | 2003-01-10 ~ 2004-01-09 |
| Domenic's & Vinnies Dba · Strictly Pizza LLC | 505 Wolcott St, Waterbury, CT 06705-1249 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dba Casablanca Limo, LLC | 62 Cynthia Drive, West Haven, CT 06516 | General Intrastate Livery Service | 2015-01-08 ~ |
| Casablanca Realty LLC | 50 Mariot Circle, Wallingford, CT 06492-5221 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Casablanca Market | 2091 Fairfield Ave, Bridgeport, CT 06605-2246 | Retail Dairy Store | 2014-07-01 ~ 2015-06-30 |
| Domenic Valentino | 169 Guinevere Rdg, Cheshire, CT 06410-1541 | Resident Physician | 2020-06-28 ~ 2024-06-30 |
| Domenic Termine | 1351 Washington Blvd, Stamford, CT 06904 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Please comment or provide details below to improve the information on DOMENIC W CASABLANCA.
| 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).