DALE D SEBASTIAN (Credential# 1177017) 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.
DALE D SEBASTIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052474. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 34 Park Street, New Haven, CT 06519. The current status is active.
| Licensee Name | DALE D SEBASTIAN |
| Credential ID | 1177017 |
| Credential Number | 1.052474 |
| Credential Type | Physician/Surgeon |
| Business Address |
34 Park Street New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-09-27 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1220402 | CSP.0057113 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-05-06 | 2019-03-17 - 2021-02-28 | ACTIVE |
| 1083234 | CSP.0053206 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-06 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 34 PARK STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos A Salgado | 34 Park Street, New Haven, CT 06519 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Reena Kapoor Md | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Allison N Ponce | 34 Park Street, New Haven, CT 06519 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Eliza Christine Buelt | 34 Park Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Kristin Sorlie | 34 Park Street, New Haven, CT 06519 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Jai Shah | 34 Park Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia L. Sebastian | 12 Acorn Ct, New London, CT 06320-3802 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Sebastian P George Md | 146 Hazard Ave, Enfield, CT 06082 | Physician/surgeon | 2006-05-16 ~ 2007-07-31 |
| Sebastian Pagni | C/o Dana West, New Haven, CT 06510 | Physician/surgeon | 1997-07-30 ~ 1998-04-30 |
| Sebastian T Tosto | 606 Royal Parkway, Dothan, AL 36305 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sebastian J Padayatty | 4600 Connecticut Avenue Nw #919, Washington, DC 20008 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sebastian Mozzicato | River Valley Services, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anne D Sebastian | River Bend Center, One Omega Drive, Stamford, CT 06907 | Physician/surgeon | ~ |
| Roger S Beck | 305 Dale Rd, Wethersfield, CT 06109 | Physician/surgeon | 2002-08-26 ~ 2003-10-31 |
| Brian E Michael | 34 Dale Rd, Avon, CT 06001 | Physician/surgeon | 2003-05-12 ~ 2004-06-30 |
| Harald K Dale Md | 38 Driftwood Ln, Trumbull, CT 06611-1861 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
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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).