JOSE PORTAL MD (Credential# 548121) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 12, 2000. The license expiration date date is November 30, 2001. The license status is INACTIVE.
JOSE PORTAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.029938. The credential type is physician/surgeon. The effective date is October 12, 2000. The expiration date is November 30, 2001. The business address is 87 Grandview Avenue, Waterbury, CT 06708. The current status is inactive.
| Licensee Name | JOSE PORTAL MD |
| Credential ID | 548121 |
| Credential Number | 1.029938 |
| Credential Type | Physician/Surgeon |
| Business Address |
87 Grandview Avenue Waterbury CT 06708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1989-05-05 |
| Effective Date | 2000-10-12 |
| Expiration Date | 2001-11-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158898 | CSP.0017123 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-02-29 - 2001-02-28 | INACTIVE |
| Street Address | 87 GRANDVIEW AVENUE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neeru C Dua Md | 87 Grandview Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Meredith R Gershon | 87 Grandview Avenue, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Salman J Yousuf | 87 Grandview Avenue, Waterbury, CT 06708 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Beth Schultz Od | 87 Grandview Avenue, Waterbury, CT 06708 | Optometrist | 2006-05-01 ~ 2007-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia G Portal | 173 East Ave, New Canaan, CT 06840 | Physician/surgeon | 2000-01-17 ~ 2001-03-31 |
| Jose I Yap | 540 Parmalee Ave, Youngstown, OH 44510 | Physician/surgeon | 2005-05-31 ~ 2006-05-31 |
| Claudine Lott | 145 Nicholson Ln, San Jose, CA 95134-1359 | Physician/surgeon | ~ |
| Jose Toro | 153 S Country Rd, Remsenburg, NY 11960 | Physician/surgeon | ~ |
| Arnaldo Portal · Portal-home Improvements | 220 Old Farm Rd, South Windsor, CT 06074-1559 | Home Improvement Contractor | 2018-04-13 ~ 2018-11-30 |
| Jose F L Da Costa | 85 Seymour St Ste 901, Hartford, CT 06106-5528 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
| Jose D Buhain Md | 19 Judson Ave Apt #5-d, Woodbury, CT 06798 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Jose M Berger | 20 Brownell St, New Haven, CT 06511-4006 | Physician/surgeon | 1983-07-29 ~ 1988-02-29 |
| Jose Chaume | Station B, San Francisco, CA 94126 | Physician/surgeon | 1998-04-21 ~ 1999-06-30 |
| Jose A Tellechea-mendoza Md | Po Box 350, Higganum, CT 06441-0350 | 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).