ENRIQUE J TELLO SILVA MD (Credential# 558148) 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.
ENRIQUE J TELLO SILVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040565. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 60 Washington Ave Ste 304, Hamden, CT 06518-3273. The current status is active.
| Licensee Name | ENRIQUE J TELLO SILVA MD |
| Credential ID | 558148 |
| Credential Number | 1.040565 |
| Credential Type | Physician/Surgeon |
| Business Address |
60 Washington Ave Ste 304 Hamden CT 06518-3273 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - ON PROBATION |
| Active | 1 |
| Issue Date | 2002-06-24 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 321134 | CSP.0032731 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 60 WASHINGTON AVE STE 304 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-3273 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily A Fine | 60 Washington Ave Ste 201, Hamden, CT 06518-3273 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose A Silva · Tello Silva Carpentry Works | 12 Old Mill Ln, Stamford, CT 06902-1026 | Home Improvement Contractor | 2019-03-29 ~ 2019-11-30 |
| Enrique Garcia | 1 Dickel Rd, Scarsdale, NY 10583-2117 | Physician/surgeon | 2020-04-02 ~ 2020-10-31 |
| Jaime Enrique Verastegui | 355 S Street Ext, Coventry, CT 06238-3429 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Enrique C Quimper | Scipion Llona 180, Lima 18 | Physician/surgeon | 1994-11-25 ~ 1995-09-30 |
| Enrique N Ponte | 112 Camino Penasco, El Paso, TX 79912 | Physician/surgeon | 1994-06-13 ~ 1995-02-28 |
| Carlos Enrique Encarnacion | 206 Castlebar Rd, Rochester, NY 14610-2914 | Physician/surgeon | 1987-04-10 ~ 1990-01-03 |
| Fidel R Tello · Tello Construction | 990 Grand St, Bridgeport, CT 06604-2619 | Home Improvement Contractor | 2008-02-04 ~ 2008-11-30 |
| Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Enrique G Aramburu | 4323 Colden Street, Flushing, NY 11355 | Physician/surgeon | ~ 1995-04-30 |
| Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).