DIANA ANDRES (Credential# 1657975) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2019. The license expiration date date is June 16, 2023. The license status is ACTIVE.
DIANA ANDRES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063339-RES. The credential type is resident physician. The effective date is June 17, 2019. The expiration date is June 16, 2023. The business address is 114 Woodland St, Hartford, CT 06105-1208. The current status is active.
| Licensee Name | DIANA ANDRES |
| Credential ID | 1657975 |
| Credential Number | 1.063339-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
114 Woodland St Hartford CT 06105-1208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-17 |
| Effective Date | 2019-06-17 |
| Expiration Date | 2023-06-16 |
| Refresh Date | 2019-05-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1669699 | CSP.0071611 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-19 | 2019-06-19 - 2021-02-28 | ACTIVE |
| Street Address | 114 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kelly A Flynn Md | 114 Woodland St, Hartford, CT 06105-1208 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Pintoff | 114 Woodland St Ofc Casemgt, Hartford, CT 06105-1208 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Saadia Zafar Md | 114 Woodland St Flr 3, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
| Julie M Peck | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2019-07-01 |
| A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multi | Saint Francis Hospital and Medical Center, Hartford, CT 06105-1208 | Medical Marijuana Research Program | 2016-12-15 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andres Mascaro Pankova | 308south24th Street, Philadelphia, PA 19103 | Resident Physician | 2014-07-07 ~ 2020-06-30 |
| Pablo Andres Bravo Valenzuela | 11710 Robin Rd, Marshfield, WI 54449-9525 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Diana Athonvarangkul | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Erin Diana Bright | 260 Crown St Apt 2g, New Haven, CT 06511-6672 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Larry G Andres · Andres & Associates | 1320 Prudential Dr #202, Dallas, TX 75235 | Architect | 2000-08-01 ~ 2001-07-31 |
| Andres Carrasco · Andres Construction | 117 Maple St, New Haven, CT 06511-4021 | Major Contractor | 2018-08-07 ~ 2019-06-30 |
| Alvaro Andres Ramos Costales | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2018-07-01 ~ 2020-06-30 |
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Andres Jimenez · Andres Jimenez Carpentry & Tile | 9-1 Ridge Rd, Naugatuck, CT 06770 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Andres Decor LLC | 42 Dean Rd, East Lyme, CT 06333 | Home Improvement Contractor | 2006-05-01 ~ 2006-11-30 |
Please comment or provide details below to improve the information on DIANA ANDRES.
| 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).