DIANA L SEWELL (Credential# 994069) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
DIANA L SEWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050154. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 60 Southport Ridge, Southport, CT 06890. The current status is active.
| Licensee Name | DIANA L SEWELL |
| Credential ID | 994069 |
| Credential Number | 1.050154 |
| Credential Type | Physician/Surgeon |
| Business Address |
60 Southport Ridge Southport CT 06890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-07-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 509719 | CSP.0044073 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-08-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 60 Southport Ridge |
| City | Southport |
| State | CT |
| Zip Code | 06890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
| Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
| Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06890 | |||
| City | Southport |
| Zip Code | 06890 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Or Shachar | 1 Elk Ct, Sewell, NJ 08080-2663 | Physician/surgeon | 2013-11-01 ~ 2014-11-30 |
| Steven H Ressler | 250 Heritage Rd, Sewell, NJ 08080-4370 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Matthew D. Sewell | 691 Westwind Dr, Berwyn, PA 19312-1143 | Physician/surgeon | 2010-12-07 ~ 2011-08-31 |
| Christopher S Sewell | 1601 W. Main Street, Willimantic, CT 06226 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Diana Hull Md | Po Box 931, Middletown, CT 06457-0931 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana Harbison | Po Box 556, Essex, CT 06426-0556 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Perin W Diana Jr | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Maria M Messina Md | 19 Diana Dr, Woodbridge, CT 06525-1216 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert D Messina Md | 19 Diana Dr., Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DIANA L SEWELL.
| 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).