DANA ELIZABETH PEPE (Credential# 1511069) 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.
DANA ELIZABETH PEPE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061610. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 330 Brookline Ave, Boston, MA 02215-5400. The current status is active.
| Licensee Name | DANA ELIZABETH PEPE |
| Credential ID | 1511069 |
| Credential Number | 1.061610 |
| Credential Type | Physician/Surgeon |
| Business Address |
330 Brookline Ave Boston MA 02215-5400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1601693 | CSP.0069548 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-09-14 | 2019-03-01 - 2021-02-28 | INACTIVE |
| 1490903 | 1.059005-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2020-06-30 | ACTIVE |
| 1358764 | CSP.0063011 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-08-30 | 2017-03-01 - 2019-02-28 | INACTIVE |
| Street Address | 330 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Alan Sirota | 330 Brookline Ave, Boston, MA 02215-5400 | Physician/surgeon | 1974-07-16 ~ 1983-04-30 |
| Elle Margaret Levit | 330 Brookline Ave, Boston, MA 02215-5400 | Physician/surgeon | ~ |
| Beth Israel Deaconess Medical Center | 330 Brookline Ave, Boston, MA 02215-5400 | Public Charity-exempt From Financial Requirements | 2004-09-22 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Providence Strategic Growth Europe, Lp | Landmark Center, Boston, MA 02215 | Securities - Exemptions | ~ |
| Dana-farber Cancer Institute Inc | 450 Brookline Ave, Boston, MA 02215 | Nonresident Pharmacy | ~ |
| Kelly Zhang | 400 Brookline Ave, Boston, MA 02215 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Red Sox Foundation | 4 Jersey Street, Boston, MA 02215 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| James V Hennessey | Beth Israel Deaconness Mc, Boston, MA 02215 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Marc-david Munk | 136 Brookline Ave, Boston, MA 02215 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Walgreens #10996 | 429 Brookline Ave., Boston, MA 02215 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Inga-marie Schaefer | 19 Queensberry Street, Boston, MA 02215 | Physician/surgeon | 2018-02-01 ~ 2019-02-28 |
| Bhaskar Roy | 111 Park Drive, Boston, MA 02215 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David E Denny | 51 Park Dr #2, Boston, MA 02215 | Professional Engineer | 2012-03-12 ~ 2013-01-31 |
| Find all Licenses in zip 02215 | |||
| City | BOSTON |
| Zip Code | 02215 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BOSTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Judith L Pepe Md | 34 Apple Ln, Middletown, CT 06457-1742 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vincent H Pepe | 34 Apple Lane, Middletown, CT 06457 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Albert J Pepe | 69 County Road, Oakland, ME 04963 | Physician/surgeon | 1998-03-05 ~ 1999-03-31 |
| Salvatore Pepe Jr | 100 W Atlantic Blvd, Ocean City, NJ 08226 | Physician/surgeon | 2003-11-19 ~ 2004-12-31 |
| Dana E Jock | 2250 Co Hwy 33, Cooperstown, NY 13326 | Physician/surgeon | 2007-02-23 ~ 2008-03-31 |
| Dana Cavicke Md | 62 Joshuatown Rd, Lyme, CT 06371-3120 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Dana P Woods Md | 15 Skungamaug Rd, Tolland, CT 06084 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Wen Ao Dana Wang | 350 W 42nd St Apt 58d, New York, NY 10036-6964 | Physician/surgeon | 2016-08-17 ~ 2017-02-28 |
| Dana Wiseman | 40 Wagon Rd, Glastonbury, CT 06033-3261 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Dana Lynn Mincer | 81 Big Oak Road, Yardley, PA 19067 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DANA ELIZABETH PEPE.
| 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).