EBISA YIGEZU BEKELE (Credential# 1459424) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
EBISA YIGEZU BEKELE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057190. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 435 Lewis Ave, Meriden, CT 06451-2101. The current status is active.
| Licensee Name | EBISA YIGEZU BEKELE |
| Credential ID | 1459424 |
| Credential Number | 1.057190 |
| Credential Type | Physician/Surgeon |
| Business Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-20 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1465187 | CSP.0067211 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicola Calabrese | 435 Lewis Ave, Meriden, CT 06451-2101 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Isaac Troiano | 435 Lewis Ave, Meriden, CT 06451-2101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeisa Yomary Gomez-torres | 435 Lewis Ave, Meriden, CT 06451-2101 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Francis Kuttamperoor | 435 Lewis Ave, Meriden, CT 06451 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kimberly Brown | 435 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan Alsamarai | 435 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Midstate Medical Center | 435 Lewis Ave, Meriden, CT 06451-2101 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Joseph A Celella | 435 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George C. Laverde | 435 Lewis Ave, Meriden, CT 06451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Brian Major Pa · New Britain General Hospital | 435 Lewis Ave, Meriden, CT 06451-2101 | 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 |
|---|---|---|---|
| Wendy Holmes | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Rajani Nadkarni | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary F Tansino | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gerard Fumo | 435 Lewis Ave Ste 220, Meriden, CT 06451-2101 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L. Torres | 309 Brownstone Ridge, Meriden, CT 06451 | Crane Operator | 2018-06-29 ~ 2020-06-28 |
| Lourdes Castro | 25 Lanoutte Steet, Meriden, CT 06451 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2022-02-28 |
| Brittney Hilliard | 44 Eddy Avenue, Meriden, CT 06451 | Master's Level Social Worker | ~ |
| Super Laundry Mat | 311 West Main St, Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sarah C Matteson | 18 Steuben St, Meriden, CT 06451 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Valerie Mari Dejesus | 36c Kiki Drive, Meriden, CT 06451 | Hairdresser/cosmetician | ~ |
| Tiffaney A Williams | 158 Byron Road, Meriden, CT 06451 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Meriden Oil Co | 30 Knob Hill Rd, South Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amal Abouchacra · Sam's Market | 167 Lewis Avenue, Meriden, CT 06451 | Grocery Beer | 2020-07-31 ~ 2021-07-30 |
| Carmen J Vazquez | 173 Fourth St, Meriden, CT 06451 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06451 | |||
| City | MERIDEN |
| Zip Code | 06451 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manasseh Bekele | 37 Farnham Ave Apt 36, New Haven, CT 06515-1273 | Home Improvement Salesperson | 2018-10-15 ~ 2019-11-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).