VIVIAN ORTIZ (Credential# 1360171) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
VIVIAN ORTIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063124. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202. The current status is inactive.
| Licensee Name | VIVIAN ORTIZ |
| Credential ID | 1360171 |
| Credential Number | CSP.0063124 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
20 York Street, Tompkins 2, Room 226 New Haven CT 06510-3202 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-06-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491953 | 1.059688-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 20 York Street, Tompkins 2, Room 226 |
| City | New Haven |
| State | CT |
| Zip Code | 06510-3202 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adrienne Brooke Mejia | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Marianne More Casilla-lennon | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tanner Ian Kim | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Shree Priya Govindarajan | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Deephak Swaminath | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2017-07-24 ~ 2021-06-30 |
| Fiorella Llanos Chea | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Benjamin Lu | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Mollie Bess Tucker | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ali Kamran | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leila Haghighat | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Jeffrey Korus | C/o 20 York Street Tompkins 2 Rm# 226, New Haven, CT 06510-3202 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yuxin Liu | C/o 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Richard A Lane | 16 Leroy Ter, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Jiachen Hao | 20 York Street Thompkins 2, Room 226, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Leo M Cooney Jr | Dorothy Adler Center, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tovy Haber Kamine | 20 York St, Tompkins 2 Rm 226, New Haven, CT 06510-3202 | Physician/surgeon | 2016-09-27 ~ 2017-06-30 |
| Richard F Smith | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Benjamin Jang | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| David Nathan Suwondo | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| David Molho | 20 York Street, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06510-3202 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivian Mastroianni Pa | 60 Woodland Ln, Woodbury, CT 06798-2513 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian Teixeira | 207 George St #510, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Vivian Calobrisi Pa | 29 Carriage Dr, Clinton, CT 06413 | Controlled Substance Registration for Practitioner | 1993-11-10 ~ 1995-08-01 |
| Vivian G Mihailescu | 150 E 85th St Apt 5i, New York, NY 10028-2302 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vivian A Asare | 48 Clinton Ave, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian Leung | 410 Capitol Avenue, P.o. Box 340308, CT 06134 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian S Argento Md | 112 Quarry Road, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian C Shih | 36 Judd Hill Rd, Bethany, CT 06524-3094 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Vivian Tanner Aprn | 276 Highland Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Vivian E Vlamakis | 75 Redwood Drive 1402, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Please comment or provide details below to improve the information on VIVIAN ORTIZ.
| 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).