JOSEPH J BOTTA (Credential# 558188) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JOSEPH J BOTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040605. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 150 Ware Rd, Dayville, CT 06241-1126. The current status is active.
| Licensee Name | JOSEPH J BOTTA |
| Credential ID | 558188 |
| Credential Number | 1.040605 |
| Credential Type | Physician/Surgeon |
| Business Address |
150 Ware Rd Dayville CT 06241-1126 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-07-01 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 317016 | CSP.0032597 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-08-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1394011 | CSP.0064483 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 150 WARE RD |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241-1126 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Westview Nursing Care & Rehabilitation Center Inc. · Westview Nursing Care & Rehabilitation Center, Inc. | 150 Ware Rd, Dayville, CT 06241-1126 | Chronic & Convalescent Nursing Home | 2020-04-01 ~ 2022-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika L Higgins | 56 Philip Lane, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Chrystina Mary Pelletier | 27 Huntley Rd, Dayville, CT 06241 | Esthetician | ~ |
| Elaine Marie Gazzola | 131 Lake Road, Dayville, CT 06241 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Pepin | 239 Hartford Pike, Dayville, CT 06241 | Medication Administration Certification | 2020-06-09 ~ 2022-06-08 |
| Kelly Belanger · Donovan | 61 Pleasant View Dr, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Neysha Larkin | 323 Coomer Hill Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Michael Phillips | 94 Mason Hill Rd, Dayville, CT 06241 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Vy Nguyen | 31 Ware Rd, Dayville, CT 06241 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Melissa L Seiffert · Theroux Gaudette | 59 Stone Road, Dayville, CT 06241 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cristie Mitchell | 479 Valley Road, Dayville, CT 06241 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Find all Licenses in zip 06241 | |||
| City | DAYVILLE |
| Zip Code | 06241 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DAYVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald M Botta | Po Box 208039, New Haven, CT 06520-8039 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Robert K Botta | 6 Research Dr, Ste 105, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marivic D Botta Md | 15 Corporate Drive, Trumbull, CT 06611 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Thomas A Botta | 22 Cobblers Mill Road, Sandy Hook, CT 06482 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
| H Joseph Simon | Rt 3 Box 306, Lorena, TX 76655 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Joseph C Wu | 103 Boston St Apt A, Guilford, CT 06437-2802 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph M Ossorio | Po Box 562966, Miami, FL 33256-2966 | Physician/surgeon | ~ |
| Shirley P Joseph | 252 Oak St., Lewiston, ME 04240 | Physician/surgeon | 1999-08-12 ~ 2000-08-31 |
| Joseph Rosenblatt | 33 Two Rod Hwy, Wethersfield, CT 06109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JOSEPH J BOTTA.
| 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).