VICTORIA COSTELLO (Credential# 1304279) 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.
VICTORIA COSTELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054555. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 263 Farmington Ave, Farmington, CT 06030. The current status is active.
| Licensee Name | VICTORIA COSTELLO |
| Credential ID | 1304279 |
| Credential Number | 1.054555 |
| Credential Type | Physician/Surgeon |
| Business Address |
263 Farmington Ave Farmington CT 06030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-08-20 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1306784 | CSP.0061358 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-24 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 263 Farmington Ave |
| City | Farmington |
| State | CT |
| Zip Code | 06030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Matthew D Goranson | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2026-06-30 |
| Jacob Silver | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Nicholas Bellas | 263 Farmington Ave, Farmington, CT 06032-1956 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Jennifer Hale | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Cory R Hewitt | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Sango Huwaa Mosia Asante | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Ryan Desrochers | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
| Kelsey D Greenhalgh | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Addis Costello | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Al Costello · Costello's Roofing | 75 Beaver Road, Wethersfield, CT 06109 | Home Improvement Contractor | 1998-12-11 ~ 1999-11-30 |
| Ruth P Lim | 14 Beatty St, Victoria, AU 3079 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Victoria I. Pham | 59 Hastings Ln, Stamford, CT 06905-2902 | Physician/surgeon | ~ |
| Hoang Viet Bui | 501 E Colorado St, Victoria, TX 77901-6025 | Physician/surgeon | ~ |
| Elizabeth L Rose | 30 Victoria Ln, Wilbraham, MA 01095-1951 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Victoria M Grossi | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Victoria Urrutia | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Victoria Levander | 69 Colony Rd, Longmeadow, MA 01106 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Victoria A Cassano Md | 66 Bloomfield Ave, Hartford, CT 06105 | Physician/surgeon | 2008-06-09 ~ 2009-05-31 |
Please comment or provide details below to improve the information on VICTORIA COSTELLO.
| 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).