ANDREW P SWAN MD (Credential# 561780) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ANDREW P SWAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044198. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2880 Old Dixwell Ave, Hamden, CT 06518. The current status is active.
| Licensee Name | ANDREW P SWAN MD |
| Credential ID | 561780 |
| Credential Number | 1.044198 |
| Credential Type | Physician/Surgeon |
| Business Address |
2880 Old Dixwell Ave Hamden CT 06518 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - PRIOR DISCIPLINE |
| Active | 1 |
| Issue Date | 2006-03-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380974 | CSP.0036244 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2880 OLD DIXWELL AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eye Center of Southern Ct | 2880 Old Dixwell Ave, Hamden, CT 06518 | Optical Selling Permit | 2020-09-01 ~ 2021-08-31 |
| Jenny Temnogorod | 2880 Old Dixwell Ave, Hamden, CT 06518-3144 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nataliya Pokeza | 2880 Old Dixwell Ave, Hamden, CT 06518-3144 | Controlled Substance Registration for Practitioner | 2019-04-29 ~ 2021-02-28 |
| Mark S Milner Md | 2880 Old Dixwell Ave, Hamden, CT 06518-3144 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
| Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
| Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Find all Licenses in zip 06518 | |||
| City | HAMDEN |
| Zip Code | 06518 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yuliya Anikanova | 125 Swan Ct, Poughkeepsie, NY 12603-6971 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| Karena L Swan Md | 173 Haverford St, Hamden, CT 06517 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
| Robert L Wolf | 29 G Swan Ct, North Providence, RI 02904 | Physician/surgeon | 1992-08-26 ~ 1993-08-31 |
| Emy Leah R Fernandez | 25 Swan Road, Mahwah, NJ 07430 | Physician/surgeon | 2006-03-01 ~ 2007-01-31 |
| Rebecca E Pike | 6 Swan Lane, Mystic, CT 06355 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jill D Bernstein Md | 83 Swan Nest, South Windsor, CT 06074 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mattthew Swan Lawrence | 4 Science Park, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Silpa B Gadiraju Md | 8 Swan Isle Blvd, Missouri City, TX 77459-4494 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Andrew W Buonocore | 5 Swan St, Waterbury, CT 06705 | Sub-surface Sewage Installer | 1997-08-25 ~ 1998-08-31 |
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
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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).