DAVID J MADRID (Credential# 1490821) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2015. The license expiration date date is June 30, 2021. The license status is INACTIVE.
DAVID J MADRID is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058923-RES. The credential type is resident physician. The effective date is June 29, 2015. The expiration date is June 30, 2021. The business address is 256 Connecticut Ave, West Haven, CT 06516-6829. The current status is inactive.
| Licensee Name | DAVID J MADRID |
| Credential ID | 1490821 |
| Credential Number | 1.058923-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
256 Connecticut Ave West Haven CT 06516-6829 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2015-06-29 |
| Effective Date | 2015-06-29 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1283768 | 1.054447 | Physician/Surgeon | 2015-07-27 | 2018-05-01 - 2019-04-30 | INACTIVE |
| 1287062 | CSP.0060362 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-02-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 256 CONNECTICUT AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-6829 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clarita G Roxas | 264 Connecticut Ave, West Haven, CT 06516-6829 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jeremy G Estes | 244 Connecticut Ave, West Haven, CT 06516-6829 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Angelina M Prada | 262 Connecticut Ave, West Haven, CT 06516-6829 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Peter D Canning | 220 Connecticut Ave, W Haven, CT 06516-6829 | Medical Gas & Vacuum Systems Journeyperson | 2019-11-01 ~ 2020-10-31 |
| Dondreia L Gelios | 248 Connecticut Ave, West Haven, CT 06516-6829 | Pharmacist | 2011-10-19 ~ 2012-01-31 |
| Michele Desimone | 248 Connecticut Ave, W Haven, CT 06516-6829 | Real Estate Salesperson | 2008-06-01 ~ 2009-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elinora Madrid | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2018-07-01 ~ 2019-05-02 |
| Madrid Corp (the) | 40 West St, Vernon, CT 06066 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Alta Marca Madrid Vino De Madrid Temp | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-08-26 ~ 2012-07-03 |
| Anthony V. Madrid | 16 Donna Drive, Unit #22, Norwalk, CT 06854 | Certified Public Accountant Firm Permit | 1996-01-17 ~ 1996-12-31 |
| The Madrid Corp | 40 West St Ste 10, Vernon, CT 06066-3046 | New Home Construction Contractor | 2015-10-01 ~ 2017-09-30 |
| David G Su | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| David D Curran | 91 Cogswell Corners Rd, Madrid, NY 13660-3118 | Asbestos Abatement Supervisor | 2020-03-01 ~ 2021-02-28 |
| David Homa | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-08 ~ 2021-06-30 |
| David R Gibb | 50 Broad St, Milford, CT 06460-3358 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| David Christopher Gay | 47 Emerson St, Cresskill, NJ 07626 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
Please comment or provide details below to improve the information on DAVID J MADRID.
| 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).