RYAN MICHAEL LANDIS (Credential# 1519752) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
RYAN MICHAEL LANDIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061263-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 37 Shoreham Rd, New Haven, CT 06512-4021. The current status is active.
| Licensee Name | RYAN MICHAEL LANDIS |
| Credential ID | 1519752 |
| Credential Number | 1.061263-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
37 Shoreham Rd New Haven CT 06512-4021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1497989 | CSP.0067594 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1468991 | 1.060114 | Physician/Surgeon | 2018-03-12 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 37 SHOREHAM RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512-4021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda J Brennan · The William T Beazley Co Inc | 37 Shoreham Rd, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan J Cole | 40 Devonwood Dr, Waterbury, CT 06708-2302 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Ryan Alexander | 130 Division St, Derby, CT 06418 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Ryan P Duggan | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ryan D. Fillmore | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Brienne Ryan | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
| Benjamin Ryan Ittleman | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-02 ~ 2021-06-30 |
| Ryan Rajaram | 2216 W 40th St, Cleveland, OH 44113-3840 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Ryan J Slovak | 6 Round Hill Rd, Shelton, CT 06484-1688 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Ryan S O'dell | 300 George Street, New Haven, CT 06511 | Resident Physician | 2017-06-12 ~ 2021-06-30 |
| Ryan Riordan | 23 S Jefferson St, Batavia, IL 60510-2419 | Resident Physician Assistant | 2020-05-26 ~ 2021-12-31 |
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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).