AMANDA COLLINS-BAINE MD (Credential# 557245) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
AMANDA COLLINS-BAINE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039661. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 53 Old Kings Hwy N Ste 205, Darien, CT 06820-4735. The current status is active.
| Licensee Name | AMANDA COLLINS-BAINE MD |
| Credential ID | 557245 |
| Credential Number | 1.039661 |
| Credential Type | Physician/Surgeon |
| Business Address |
53 Old Kings Hwy N Ste 205 Darien CT 06820-4735 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 280560 | CSP.0031133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-07-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 912367 | CSP.0047200 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-02-04 | 2017-11-06 - 2019-02-28 | LAPSED |
| Street Address | 53 OLD KINGS HWY N STE 205 |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-4735 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald A Stangler | 53 Old Kings Hwy N Ste 205, Darien, CT 06820-4523 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Quynhchi N Van Lang Dmd | 53 Old Kings Hwy North, Darien, CT 06820-4735 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisbeth Alexandra Gutierrez | 13 Casper Street, Danbury, CT 06820 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Sonia L Morales | Po Box 2351, Darien, CT 06820 | Master's Level Social Worker | ~ |
| Belle Stobbie | 1 Salt Box Lane, Darien, CT 06820 | Registered Nurse | 2020-06-26 ~ 2021-02-28 |
| Jessica Stygares | 110 Hecker Avenue, Darien, CT 06820 | Speech and Language Pathologist | ~ |
| John M Neary | 31 Hoyt St, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kevin D Gray | 5 Old Stone Rd, Darien, CT 06820 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lindsay G Westbrook | 11 Oakshade Ave, Darien, CT 06820 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Darien Two Inc | 967 Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Darien Seafood Mkt Inc · Frate & Burt Seafood | 1941 Post Rd, Darien, CT 06820 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Bertucci's | 54 Boston Post Rd, Darien, CT 06820 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06820 | |||
| City | DARIEN |
| Zip Code | 06820 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DARIEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ian L Baine | 420 Fountain St, New Haven, CT 06515 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Marina K Baine | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Mihaela Onciu | 150 Collins St, Memphis, TN 38112-3814 | Physician/surgeon | ~ |
| Mark S Amster | 70 Collins Rd, Waban, MA 02468 | Physician/surgeon | 2013-05-01 ~ 2014-04-30 |
| Michael J Liftman Md | 25 Collins Rd, Bristol, CT 06010 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Deal T Aseltine Jr | 290 Collins St, Hartford, CT 06105 | Physician/surgeon | 2001-10-02 ~ 2002-11-30 |
| Subrata K Basu Md | 290 Collins St, Hartford, CT 06105-1549 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Lydia M Makapugay | 150 Collins St., Memphis, TN 38112 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| John P Callan | 287 Collins St, Hartford, CT 06105-1550 | Physician/surgeon | 1965-12-13 ~ 1987-02-28 |
| Alyssa M. Feiner | 142 Collins St, Memphis, TN 38112-3810 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
Please comment or provide details below to improve the information on AMANDA COLLINS-BAINE MD.
| 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).