MADELINE E DEWANE (Credential# 2052178) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MADELINE E DEWANE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065935-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 36 Manor St, Hamden, CT 06517-2318. The current status is active.
| Licensee Name | MADELINE E DEWANE |
| Credential ID | 2052178 |
| Credential Number | 1.065935-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
36 Manor St Hamden CT 06517-2318 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050125 | CSP.0074195 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| 1218651 | 10.121790 | Registered Nurse | 2014-09-02 | 2014-09-02 - 2015-09-30 | INACTIVE |
| 1222794 | 10.118805-TEMP | Registered Nurse - Temporary | 2014-05-15 | 2014-05-15 - 2014-09-11 | INACTIVE |
| Street Address | 36 MANOR ST |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-2318 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael P Dewane | 36 Manor Street, Hamden, CT 06517 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Madeline Migiliorini · Cafe Madeline | 1603 Post Road, Fairfield, CT 06824 | Restaurant Liquor | 2018-01-14 ~ 2019-01-13 |
| Madeline Klein | 148 Herbert Rd, Arlington, MA 02174 | Physician/surgeon | 2000-01-10 ~ 2001-03-31 |
| Harold Mark Lickey Md | 101-5o Madeline Ave, Waterbury, CT 06708 | Physician/surgeon | 2001-03-20 ~ 2002-03-31 |
| Madeline S Wilson Md | 1050 State St., New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Madeline Ridge LLC | 45 Codfish Hill Rd, Bethel, CT 06801-3302 | New Home Construction Contractor | 2011-10-01 ~ 2013-09-30 |
| Madeline | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-06-23 ~ 2022-06-21 |
| Madeline Mini Mart | 569 Maple Ave, Hartford, CT 06114-1272 | Retail Dairy Store | 2020-04-13 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MADELINE E DEWANE.
| 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).