DONALD M BOTTA (Credential# 562503) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2011. The license expiration date date is April 30, 2012. The license status is INACTIVE.
DONALD M BOTTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044921. The credential type is physician/surgeon. The effective date is May 1, 2011. The expiration date is April 30, 2012. The business address is Po Box 208039, New Haven, CT 06520-8039. The current status is inactive.
| Licensee Name | DONALD M BOTTA |
| Credential ID | 562503 |
| Credential Number | 1.044921 |
| Credential Type | Physician/Surgeon |
| Business Address |
Po Box 208039 New Haven CT 06520-8039 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-11-21 |
| Effective Date | 2011-05-01 |
| Expiration Date | 2012-04-30 |
| Refresh Date | 2012-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 387162 | CSP.0036632 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-10-26 | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | PO BOX 208039 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8039 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary S Kopf Md | 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Charles C Duncan | Department of Neur-surger, New Haven, CT 06520-8039 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Donald M Botta Md | 330 Cedar St Room Bb204, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Prashanth Vallabhajosyula | Yale University School of Medicine, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
| Toshiharu Shinoka Md | 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Mark A Cobb Md · Section of Neurosurgery | 333 Cedar St, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert K Botta | 6 Research Dr, Ste 105, Shelton, CT 06484 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joseph J Botta | 150 Ware Rd, Dayville, CT 06241-1126 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| 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 |
| Donald M Botta Md | 330 Cedar St Room Bb204, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Donald R Wieche | Box 227, Plymouth, VT 05056 | Physician/surgeon | 1994-02-04 ~ 1995-03-31 |
| Donald Pet | 93 Bette Dr, Manchester, CT 06040 | Physician/surgeon | 1990-07-23 ~ 1991-06-30 |
| Donald R Kelly | 387 Indies Dr, Orchid, FL 32963-9559 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Donald C Arthur | 13554 Calais Dr, Del Mar, CA 92014-3526 | Physician/surgeon | 1979-10-29 ~ 1989-01-31 |
| Donald R Krawitt | 91-93 Montgomery St, Rhinebeck, NY 12572 | Physician/surgeon | 1995-03-31 ~ 1996-03-31 |
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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).