ALFONSO M CAMPO MD (Credential# 154305) 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 ACTIVE.
ALFONSO M CAMPO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015010. 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 111 High Ridge Rd, Stamford, CT 06905. The current status is active.
| Licensee Name | ALFONSO M CAMPO MD |
| Credential ID | 154305 |
| Credential Number | CSP.0015010 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
111 High Ridge Rd Stamford CT 06905 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546661 | 1.027570 | Physician/Surgeon | 1986-08-18 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 111 HIGH RIDGE RD |
| City | stamford |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander E Wolfe | 111 High Ridge Rd, Stamford, CT 06905-3813 | Hearing Instrument Specialist | 2019-11-04 ~ 2021-09-30 |
| Henry Sobo Md | 111 High Ridge Rd, Stamford, CT 06905 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Grisell V Paz | 111 High Ridge Rd, Stamford, CT 06905-3813 | Chiropractor | 2020-03-01 ~ 2021-02-28 |
| Laura A Futterman | 111 High Ridge Rd, Stamford, CT 06905-3813 | Naturopathic Physician | 2019-10-01 ~ 2020-09-30 |
| Knit Together LLC | 111 High Ridge Rd, Stamford, CT 06905 | Closing Out Sale | 2007-01-30 ~ 2007-03-10 |
| Jie Zhi Xiao | 111 High Ridge Rd, Stamford, CT 06905-3813 | Hairdresser/cosmetician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | stamford |
| Zip Code | 06905 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Alfonso | 195 Joy Rd, Middlebury, CT 06762-2521 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Natalie M Campo Md | 916 Gilmore Ave, Nashville, TN 37204-2613 | Controlled Substance Registration for Practitioner | 2010-03-12 ~ 2011-02-28 |
| Mayra I Alfonso Md | Pm & R Associates, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1999-01-05 ~ 2000-02-28 |
| Alan J Alfonso | 116 Cherry Ln, West Haven, CT 06516-5600 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alfonso L Espinel | 59 Montana Circle, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Alfonso R Enriquez Md | 300 Kensington Avenue, New Britain, CT 06051 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Alfonso N Combong Aprn | 100 Temple St.,apt.ph5, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Dennis E Ostermiller | 2850 Campo Verde, Las Vegas, NV 89121 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Salvatore R Campo Jr | 2102 Indian Trail, Rowlett, TX 75088 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Rancho Campo Rancho Campo 2013 Merlot Paso Robles California | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-06-09 ~ 2020-06-08 |
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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).