ALBERTO RESTREPO MD (Credential# 541545) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 19, 2005. The license expiration date date is January 31, 2007. The license status is INACTIVE.
ALBERTO RESTREPO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015576. The credential type is physician/surgeon. The effective date is December 19, 2005. The expiration date is January 31, 2007. The business address is 1635 Central Avenue, Bridgeport, CT 06610. The current status is inactive.
| Licensee Name | ALBERTO RESTREPO MD |
| Business Name | BRIDGEPORT COMMUNITY HEALTH CENTER |
| Credential ID | 541545 |
| Credential Number | 1.015576 |
| Credential Type | Physician/Surgeon |
| Business Address |
1635 Central Avenue Bridgeport CT 06610 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-07-21 |
| Effective Date | 2005-12-19 |
| Expiration Date | 2007-01-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 188779 | CSP.0026139 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE | |
| 158221 | CSP.0016946 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-03-30 - 1995-04-01 | INACTIVE |
| Street Address | 1635 CENTRAL AVENUE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bridgeport Community Health Center | 982 E Main St, Bridgeport, CT 06608-1913 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Bridgeport Community Health Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Bridgeport Community Health Center, Inc. | 471 Barnum Ave, Bridgeport, CT 06608-2409 | Outpatient Clinic | 2016-04-01 ~ 2020-03-31 |
| Bridgeport Community Health Center, Inc | 982 E Main St # 988, Bridgeport, CT 06608-1913 | Outpatient Clinic | 2016-04-01 ~ 2020-03-31 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 245 Selleck Street, Stamford, CT 06902 | Outpatient Clinic | 2000-10-17 ~ 2002-09-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Substance Abuse | 2020-01-01 ~ 2021-12-31 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 90 Fairfield Ave, Stamford, CT 06902-5021 | Outpatient Clinic | 2001-03-23 ~ 2002-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
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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).