DIANE M GALLO-VANESS MD (Credential# 546229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DIANE M GALLO-VANESS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.026861. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 100 Parrott Dr Unit 1601, Shelton, CT 06484-7701. The current status is active.
| Licensee Name | DIANE M GALLO-VANESS MD |
| Credential ID | 546229 |
| Credential Number | 1.026861 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Parrott Dr Unit 1601 Shelton CT 06484-7701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1985-11-05 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154451 | CSP.0014133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-24 | 2019-06-02 - 2021-02-28 | ACTIVE |
| Street Address | 100 PARROTT DR UNIT 1601 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Van Ess Md | 100 Parrott Drive, Shelton, CT 06484-7701 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ralph C Gallo | 505 Sussex Rd, Wynnewood, PA 19096 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Cornelia Gallo Md | 8 Barbara Place, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Leza N Gallo | 320 East 72 Street, New York, NY 10021 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Diane M Aslanis Do | Hartford, CT 06105 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Diane C Lorusso | 4 Flagler Dr, Rye, NY 10580-1850 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Diane Kim | 65 Katherine Ct, Shelton, CT 06484-4336 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Diane E Gallo | 2 Saxony Dr, New Milford, CT 06776 | Real Estate Salesperson | 2009-02-10 ~ 2009-05-31 |
| Diane L. Ainsworth | 700 White Plains Rd, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Diane C Rudolph | 15 E 75th St, New York, NY 10021-2660 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Diane Dickinson | Po Box 1127, Arcata, CA 95518-1127 | Physician/surgeon | 2020-06-20 ~ 2020-11-30 |
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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).