JOSEPH ALESSANDRO DO (Credential# 538209) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JOSEPH ALESSANDRO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000477-DO. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 103 North Rd, Windham, CT 06280-1311. The current status is active.
Licensee Name | JOSEPH ALESSANDRO DO |
Business Name | BROOKLYN FAMILY MEDICINE |
Credential ID | 538209 |
Credential Number | 1.000477-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
103 North Rd Windham CT 06280-1311 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1997-06-20 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-03-17 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2060184 | CSP.0074683 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-25 | 2020-06-25 - 2021-02-28 | APPROVED |
2017843 | CSP.0073383 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-17 | 2020-03-17 - 2021-02-28 | ACTIVE |
1607731 | CSP.0069728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
1991030 | CSP.0072892 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-12-12 | 2019-12-12 - 2021-02-28 | ACTIVE |
533786 | CSP.0045556 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-05-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
1388507 | CSP.0064323 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
527562 | CSP.0045252 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
1388508 | CSP.0064324 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
1205161 | CSP.0056670 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-02-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
184313 | CSP.0025821 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2017-04-04 - 2019-02-28 | LAPSED |
493991 | CSP.0043092 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-02-05 | 2009-03-01 - 2011-02-28 | INACTIVE |
Street Address | 103 NORTH RD |
City | WINDHAM |
State | CT |
Zip Code | 06280-1311 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott R Berger · Douglas Manor | 103 North Rd, Windham, CT 06280-1311 | Controlled Substance Registration for Practitioner | 2019-06-13 ~ 2021-02-28 |
Douglas Manor | 103 North Rd, Windham, CT 06280-1311 | Chronic & Convalescent Nursing Home | 2018-05-17 ~ 2020-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Angel M Figueroa Jr | 248 Scotland Rd, Windham, CT 06280 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
Ryan L Millbury | 6 Jack Henry Dr, Windham, CT 06280 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carrie A Wilson | 158 Jerusalem Road, Windham, CT 06280 | Real Estate Salesperson | ~ |
Hain Materials Corp | Route 203, Windham, CT 06280 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Erin Wojick | 14 Ohara Drive, Windham, CT 06280 | Medication Administration Certification | 2020-07-10 ~ 2022-07-09 |
Jodi Ann Nadeau | 71 Plains Road, Windham, CT 06280 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Margaret Ann Macha | 75 Mervyn Lane, Windham, CT 06280 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Joseph A Mignone | 140 Plains Road, Unit 92, Windham, CT 06280 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Deanna J Reinhold | 16 Tyler Rd, Windham, CT 06280 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Fiona G Stevens | 28 North Road, Windham, CT 06280 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 06280 |
City | WINDHAM |
Zip Code | 06280 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WINDHAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mahin Alamgir | Department of Medicine, Maimonides Medical Center, Brooklyn, NY 11220 | Physician/surgeon | 2019-05-01 ~ 2019-10-31 |
David D Schmidt | Dpt Family Medicine, Hartford, CT 06105 | Physician/surgeon | 1994-03-31 ~ 1995-03-31 |
Joseph T Chambers Md | Yale Univ School of Medicine, New Haven, CT 06520-8063 | Physician/surgeon | 2002-12-09 ~ 2003-12-31 |
Chr Family Medicine | 153 Hazard Avenue, Enfield, CT 06082 | Outpatient Clinic | 2019-05-06 ~ 2022-03-31 |
Joseph Warshaw Md · Yale School of Medicine | Department of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2000-06-19 ~ 2001-07-31 |
Thomas P Agresta Md | Asylum Hill Family Medicine, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Robert A Cushman Md | Family Medicine Center At Asylum Hill, Hartford, CT 06105 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Domenic W Casablanca | Middlesex Hospital Family Medicine, East Hampton, CT 06424 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
John N Forrest Jr | Yale School of Medicine, Department of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Richard J Lewis Md · Yale School of Medicine | Section of Cardiovascular Medicine, New Haven, CT 06520-8017 | Physician/surgeon | 1996-03-21 ~ 1997-03-31 |
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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).