DANA ANDERSEN MD (Credential# 551411) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 6, 2004. The license expiration date date is March 31, 2005. The license status is INACTIVE.
DANA ANDERSEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033812. The credential type is physician/surgeon. The effective date is February 6, 2004. The expiration date is March 31, 2005. The business address is Umass Dept of Surgery, Worcester, MA 01655. The current status is inactive.
| Licensee Name | DANA ANDERSEN MD |
| Business Name | YALE SCHOOL OF MEDICINE |
| Credential ID | 551411 |
| Credential Number | 1.033812 |
| Credential Type | Physician/Surgeon |
| Business Address |
Umass Dept of Surgery Worcester MA 01655 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-06-24 |
| Effective Date | 2004-02-06 |
| Expiration Date | 2005-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161102 | CSP.0022405 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | UMASS DEPT OF SURGERY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolina Ionete | 55 Lake Avenue, Worcester, MA 01655 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Thomas J Fitzgerald | 55 Lake Ave, N, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Majaz Moonis Md | Umassmemorial Health Care, Neurology, 55 Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ari Wilkenfeld | Neurology Department � 5th Floor, Worcester, MA 01655 | Physician/surgeon | ~ |
| Kate Daniello | 55 N Lake Ave, Worcester, MA 01655 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Silver | 55 Lake Avenue North, Worcester, MA 01655 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Andrew Bouley | Umass Memorial, Department of Neurology, Worcester, MA 01655 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Cheryl A Laflamme Aprn | 58 Bentwood Dr, Sturbridge, MA 01655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lawrence S Rosenthal Md | Umass Memorial Medical Center, Worcester, MA 01655 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Daniel Z Fisher Md | 55 Lake Ave North, Worcester, MA 01655 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Find all Licenses in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WORCESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Margretta R Seashore Md · Yale School of Medicine | Yale Univ School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Vivian Gahtan Md · Yale School of Medicine | Yale School of Med Sec of Vascular Surgery, New Haven, CT 06520 | Physician/surgeon | 2003-01-27 ~ 2004-03-31 |
| John N Forrest Jr | Yale School of Medicine, Department of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Richard J Lewis Md · Yale School of Medicine | Section of Cardiovascular Medicine, New Haven, CT 06520-8017 | Physician/surgeon | 1996-03-21 ~ 1997-03-31 |
| Ramsay Fuleihan Md · Yale Univ Dept of Pediatrics | Yale School of Medicine, New Haven, CT 06520-8064 | Physician/surgeon | 2006-09-22 ~ 2007-11-30 |
| Gabriel G Haddad Md · Yale Univ Dept of Pediatrics | Yale School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2002-02-19 ~ 2003-03-31 |
| Yale School of Medicine · John Hayslett Md | Dept of Internal Medicine, New Haven, CT 06510 | Controlled Substance Laboratory | 1997-02-01 ~ 1998-01-31 |
| Yale School of Medicine · Dr Seamus A Rooney | Yale Dept of Pediatrics, New Haven, CT 06520-8064 | Controlled Substance Laboratory | 2003-02-01 ~ 2004-01-31 |
| Yale University School of Medicine · Michele Solimena | Dept of Internal Medicine, New Haven, CT 06520 | Controlled Substance Laboratory | 2001-02-01 ~ 2002-01-31 |
| Maryellen B Flaherty-hewitt Md | Yale New Haven Hospital/yale School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).