D'ANDREA K. JOSEPH MD (Credential# 996680) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
D'ANDREA K. JOSEPH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049998. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is Department of Surgery, Po Box 5037, CT CT. The current status is inactive.
| Licensee Name | D'ANDREA K. JOSEPH MD |
| Credential ID | 996680 |
| Credential Number | 1.049998 |
| Credential Type | Physician/Surgeon |
| Business Address |
Department of Surgery Po Box 5037 CT CT |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-06-20 |
| Effective Date | 2019-01-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1005925 | CSP.0050648 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-07-12 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | DEPARTMENT OF SURGERY |
| City | PO BOX 5037 |
| State | CT |
| Zip Code | CT |
| City | PO BOX 5037 |
| Zip Code | CT |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PO BOX 5037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Vidali | 41 S 5th St Apt 11, Brooklyn, NY 11249-8417 | Physician/surgeon | ~ |
| Andrea C Lin | 9 N Gate Rd, Carmel, NY 10512-2213 | Physician/surgeon | 2010-09-09 ~ 2011-06-30 |
| Wen-ray T Hsu | 18 Andrea Lane, Scarsdale, NY 10583 | Physician/surgeon | 2007-12-19 ~ 2008-10-31 |
| Joseph J D'andrea & Sons Contr LLC | 50 Sheephill Road, Riverside, CT 06878 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
| Andrea D Gelzer Md | 217 Bay Point Rd, Newbury, NH 03255 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrea E Andrews Md | Po Box 390695, Snellville, GA 30039 | Physician/surgeon | 2005-04-06 ~ 2006-04-30 |
| Andrea G Asnes | 324 Yale Ave, New Haven, CT 06515-2233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Andrea J Needleman | 4 So Pomperaug Ave, Woodbury, CT 06798 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).