ERIC M DIANA MD (Credential# 562402) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ERIC M DIANA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044820. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 28 Neds Mountain Rd, Ridgefield, CT 06877-1327. The current status is active.
| Licensee Name | ERIC M DIANA MD |
| Credential ID | 562402 |
| Credential Number | 1.044820 |
| Credential Type | Physician/Surgeon |
| Business Address |
28 Neds Mountain Rd Ridgefield CT 06877-1327 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-10-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 463239 | CSP.0041133 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-02-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 28 NEDS MOUNTAIN RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-1327 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Lippi | Diana M Lippi, Sandy Hook, CT 06482 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Diana Hull Md | Po Box 931, Middletown, CT 06457-0931 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana Harbison | Po Box 556, Essex, CT 06426-0556 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Robert D Messina Md | 19 Diana Dr., Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Daniel J Diana | 42 Bluff St, Westbrook, CT 06498 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Diana P. Lewis | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Diana M Adams | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maria M Messina Md | 19 Diana Dr, Woodbridge, CT 06525-1216 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Perin W Diana Jr | 55 Meriden Ave, Southington, CT 06489 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana Leigh Rowell | 375 Farmington Ave, New Britain, CT 06053-2356 | Physician/surgeon | 1991-05-31 ~ 1992-04-30 |
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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).