ALEX FAUSTIN MD (Credential# 942513) 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.
ALEX FAUSTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049152. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 816 Broad St Ste 24, Meriden, CT 06450-4350. The current status is active.
| Licensee Name | ALEX FAUSTIN MD |
| Credential ID | 942513 |
| Credential Number | 1.049152 |
| Credential Type | Physician/Surgeon |
| Business Address |
816 Broad St Ste 24 Meriden CT 06450-4350 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-25 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 953195 | CSP.0048967 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-09-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 476254 | CSP.0041760 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-16 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 816 BROAD ST STE 24 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-4350 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy A Hwang Aprn | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joseph P Brophy | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine N Schiff | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barbara A Phillips-cole Md | 816 Broad St Ste 24, Meriden, CT 06450-4350 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jay Kaplan | 816 Broad St Ste 29, Meriden, CT 06450-4350 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachaellee E Standish | 5401 Yale Ave, Meriden, CT 06450 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Yajaira Perez | 44 Sagamore Rd, Meriden, CT 06450 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Stephanie Savejs | 818 Paddock Ave, Meriden, CT 06450 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kellie Victoria Katkauskas | 194 Catherine Dr., Meriden, CT 06450 | Marital and Family Therapist Associate | ~ |
| Shannon Lee Nessing | 278 Britannia St, Meriden, CT 06450 | Nail Technician | ~ |
| Miller Company | 99 Center St, Meriden, CT 06450 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kristina Rodriguez | 51 Hobart St., Waterbury, CT 06450 | Medication Administration Certification | 2018-07-24 ~ 2020-07-23 |
| Agatha V Pestilli | 148 Alexander Dr, Meriden, CT 06450 | Architect | 2020-08-01 ~ 2021-07-31 |
| Wayne M Flis | 250 Liberty St. #1, Meriden, CT 06450 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| J&e General Contractor LLC | 787 N Colony Rd Apt 29, Meriden, CT 06450 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
| Find all Licenses in zip 06450 | |||
| City | MERIDEN |
| Zip Code | 06450 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alex J Manzano | New Haven, CT 06511 | Physician/surgeon | 2010-11-22 ~ 2011-09-30 |
| Alex A Abad | P O Box 557, Middletown, CT 06457 | Physician/surgeon | 1995-03-31 ~ 1996-03-31 |
| Alex Bibikau | 265 Sub Way, Milford, CT 06461 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Alex B Orlikov | 61 Seaview Ave., Stamford, CT 06902 | Physician/surgeon | 2008-08-27 ~ 2009-09-30 |
| Alex B Golden | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alan Alex | 28 Oakland Ave, Farmington, CT 06032-1721 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alex Merkulov | 18 Crown St, Plainville, CT 06062-2215 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Alex Sherwood Miller | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alex Choi | 58 Kraemer Street, Hicksville, NY 11801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Alex Dukas | 36 Miamis Rd, West Hartford, CT 06117-2223 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).