JOSEPH V PORTEREIKO DO (Credential# 558068) 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.
JOSEPH V PORTEREIKO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040485-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Hartford Hospital : Department of Surgery, Hartford, CT 06102. The current status is active.
| Licensee Name | JOSEPH V PORTEREIKO DO |
| Credential ID | 558068 |
| Credential Number | 1.040485-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
Hartford Hospital : Department of Surgery Hartford CT 06102 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-06-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 306754 | CSP.0032074 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-06-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 399025 | CSP.0037163 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-10 | 2011-04-18 - 2013-02-28 | INACTIVE |
| Street Address | Hartford Hospital : Department of Surgery |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Susan Kim | Hartford Hospital - Radiation Oncology, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | HARTFORD |
| Zip Code | 06102 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather A Portereiko | 90 Summit Crest Dr, S Glastonbury, CT 06073-2942 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| Joseph F. Skowron IIi | 16 Doubling Rd, Greenwich, CT 06830-4846 | Physician/surgeon | ~ |
| Joseph Rosenblatt | 33 Two Rod Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Joseph S Yeh Md | 333 E. 30th St. Apt. 5l, New York, NY 10016 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Joseph M Ossorio | Po Box 562966, Miami, FL 33256-2966 | Physician/surgeon | ~ |
| Joseph T Culverwell | 629 Milton Rd, Rye, NY 10580 | Physician/surgeon | 1999-07-12 ~ 2000-07-31 |
| Joseph A De Donato | Po Box 552, Salisbury, CT 06068 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).