ENRIQUE BALLESTEROS (Credential# 557552) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
ENRIQUE BALLESTEROS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039969. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is University of Connecticut Health Center, Farmington, CT 06030-2230. The current status is active.
| Licensee Name | ENRIQUE BALLESTEROS |
| Credential ID | 557552 |
| Credential Number | 1.039969 |
| Credential Type | Physician/Surgeon |
| Business Address |
University of Connecticut Health Center Farmington CT 06030-2230 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-10-31 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-14 |
| Street Address | University of Connecticut Health Center |
| City | Farmington |
| State | CT |
| Zip Code | 06030-2230 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernesto Canalis Md | University of Connecticut Health Center, Farmington, CT 06030-0001 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kristina F Zdanys | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theresa Barnett Aprn | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chantal Barbara Bartels | University of Connecticut Health Center, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marja M Hurley | University of Connecticut Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Vincent J Williams | University of Connecticut Health Center, Farmington, CT 06030-4037 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| William Stanley Shaw | University of Connecticut Health Center, Farmington, CT 06030-0001 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Chaitanya P Puranik | University of Connecticut Health Center, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2018-03-14 ~ 2019-02-28 |
| Ahmet O Keles | University of Connecticut Health Center, Farmington, CT 06030 | Dentist | 2003-04-21 ~ 2004-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Anthony Brueckner | 263 Farmington Ave., Farmington, CT 06030 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Derrick B Bremang | Residency Program, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| David M Shafer | Uconn Health Center, Farmington, CT 06030 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Michael J Murphy | Dept of Dermatology, Farmington, CT 06030 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Richard F Kaplan | Univ. of Ct., Farmington, CT 06030 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas George Vitale | 22 Woods Drive, Norwich, CT 06030 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Bruce E Gould | Univ of Conn Health Center, Farmington, CT 06030 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vinayak M Sathe | Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shobhana Pathani | Department of Medicine, 263 Farmington Ave, CT 06030 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia L Almeida | John Dempsey Hospital, Farmington, CT 06030 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 06030 | |||
| City | Farmington |
| Zip Code | 06030 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Farmington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Enrique Garcia | 1 Dickel Rd, Scarsdale, NY 10583-2117 | Physician/surgeon | 2020-04-02 ~ 2020-10-31 |
| Enrique C Quimper | Scipion Llona 180, Lima 18 | Physician/surgeon | 1994-11-25 ~ 1995-09-30 |
| Carlos Enrique Encarnacion | 206 Castlebar Rd, Rochester, NY 14610-2914 | Physician/surgeon | 1987-04-10 ~ 1990-01-03 |
| Enrique J Tello Silva Md | 60 Washington Ave Ste 304, Hamden, CT 06518-3273 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Enrique N Ponte | 112 Camino Penasco, El Paso, TX 79912 | Physician/surgeon | 1994-06-13 ~ 1995-02-28 |
| Jaime Enrique Verastegui | 355 S Street Ext, Coventry, CT 06238-3429 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Enrique G Aramburu | 4323 Colden Street, Flushing, NY 11355 | Physician/surgeon | ~ 1995-04-30 |
| Enrique A Villarreal | 2524 Edwina Court, Gulf Breeze, FL 32563 | Physician/surgeon | 2005-11-15 ~ 2006-11-30 |
| Luisa F Gonzalez Ballesteros | 185 Canal St, Shelton, CT 06484 | Resident Physician | 2014-06-27 ~ 2020-06-30 |
Please comment or provide details below to improve the information on ENRIQUE BALLESTEROS.
| 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).