DAVID E CIANCIMINO MD (Credential# 549387) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID E CIANCIMINO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031679. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 4 Corporate Dr Ste 382, Shelton, CT 06484-6240. The current status is active.
| Licensee Name | DAVID E CIANCIMINO MD |
| Credential ID | 549387 |
| Credential Number | 1.031679 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Corporate Dr Ste 382 Shelton CT 06484-6240 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-07-01 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159698 | CSP.0019282 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 CORPORATE DR STE 382 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6240 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Corporate Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | Pharmacy | ~ |
| Peter M Ferrara | 4 Corporate Dr Ste 383, Shelton, CT 06484-6240 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Mark P Feinberg | 4 Corporate Dr Ste 195, Shelton, CT 06484-6240 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Heather K. Hamilton | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Coleen M Mclaughlin | 4 Corporate Dr Ste 394, Shelton, CT 06484-6240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Grass Roots Tennis of Bridgeport Inc. | 4 Corporate Drive, #488, Bridgeport, CT 06484-6240 | Public Charity | ~ |
| Elena Maydan | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Loyd S Godwin Md | 4 Corporate Dr Ste 386, Shelton, CT 06484-6240 | 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 |
|---|---|---|---|
| Patricia L Ciancimino | 98 Stoneleigh Road, Trumbull, CT 06611 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Elizabeth Ciancimino | 5 Hawley Glen, Stratford, CT 06614 | Notary Public Appointment | 2018-01-01 ~ 2022-12-31 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David M Renison | Po Box 75, Middletown, CT 06457-0075 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
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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).