AMANDA M SANDREW DO (Credential# 563876) 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.
AMANDA M SANDREW DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046294-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 34 Maple Street, Norwalk, CT 06851. The current status is active.
| Licensee Name | AMANDA M SANDREW DO |
| Credential ID | 563876 |
| Credential Number | 1.046294-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
34 Maple Street Norwalk CT 06851 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-03-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 498691 | CSP.0043313 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-04-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 MAPLE STREET |
| City | NORWALK |
| State | CT |
| Zip Code | 06851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriela Ashe Hayes | 34 Maple Street, Norwalk, CT 06856 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Meenatchi Kumaraguruparan | 34 Maple Street, Norwalk, CT 06850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| James Matthew Mcclane | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salil Mathew | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Amy M Ahasic | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip M Sundberg Md | 34 Maple Street, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Limore Maron | 34 Maple Street, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dan Dahl | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Fan Yang | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Veena Panduranga | 34 Maple Street, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda R Ganem Md | 1 Theall Rd, Rye, NY 10580 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amanda S. Cuda | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Amanda L. Wilson | 46 Sovereign Way, Florence, MA 01062-9615 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Amanda Medoro | 54 Republic Dr Apt 111, Bloomfield, CT 06002-5444 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Amanda Stein Carmel | 437 Melbourne Ave, Mamaroneck, NY 10543-2730 | Physician/surgeon | ~ |
| Amanda M. Hedges | 852 Us Highway 1, Edison, NJ 08817 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Amanda M Meulenberg Md | 12 Avery Pl, Westport, CT 06880-3223 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Amanda L Conti Md | 9 Piezzo Dr, Westerly, RI 02891 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amanda Ramos | 110 Beverly St Apt 636, Boston, MA 02114-2257 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Amanda Fantry | 1000 Asylum Ave, Hartford, CT 06105-1770 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).