DENNIS D SPENCER (Credential# 542190) 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.
DENNIS D SPENCER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.017056. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is Yale Univ Dept of Neurosurgery Tmp 4, New Haven, CT 06519. The current status is active.
| Licensee Name | DENNIS D SPENCER |
| Credential ID | 542190 |
| Credential Number | 1.017056 |
| Credential Type | Physician/Surgeon |
| Business Address |
Yale Univ Dept of Neurosurgery Tmp 4 New Haven CT 06519 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1975-01-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 146531 | CSP.0001665 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | YALE UNIV DEPT OF NEUROSURGERY TMP 4 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Spencer H Mccleave | 925 N 3rd Ave, Tucson, AZ 85705 | Physician/surgeon | 2015-07-01 ~ 2016-06-30 |
| Leonard A Schonberg | 52 Spencer St, Winsted, CT 06098 | Physician/surgeon | 1995-04-24 ~ 1996-04-30 |
| David Leitenberg | 154 Spencer Ave, Guilford, CT 06437 | Physician/surgeon | 2000-09-21 ~ 2001-09-30 |
| Micky R Riggs Md | 88 Spencer Ave, Guilford, CT 06437-3366 | Physician/surgeon | 2000-06-28 ~ 2001-06-30 |
| Spencer Holover | 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 | Physician/surgeon | ~ |
| Christopher B Spencer Md | 66 Gould Ave, Fairfield, CT 06824-5830 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| George M Spencer | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Spencer K Martin Md | Po Box 2473, Darien, CT 06820 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Michael C Dubik | 112 Spencer St, Manchester, CT 06040-4601 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Spencer S Richlin Md | 761 Main Ave Ste 200, Norwalk, CT 06851-1080 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).