DENNIS J DICAMPLI MD (Credential# 563060) 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.
DENNIS J DICAMPLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045478. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 100 Wason Ave Ste 200, Springfield, MA 01107-1179. The current status is active.
| Licensee Name | DENNIS J DICAMPLI MD |
| Credential ID | 563060 |
| Credential Number | 1.045478 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 Wason Ave Ste 200 Springfield MA 01107-1179 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-06-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 474727 | CSP.0041659 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 100 WASON AVE STE 200 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1179 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shaji P Daniel | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barbara A Greco Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Neeraj Jain | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan Slater | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hemant Magoo | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Fares Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1118 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Krishnan Babu | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ashish Verma | 100 Wason Ave Ste 200, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephen Sweet Md | 100 Wason Ave Ste 200, Springfield, MA 01107-1179 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Benjamin J Freda Do | 100 Wason Ave Ste 200, Springfield, MA 01107-1119 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Wetstone | 100 Wason Ave Ste 230, Springfield, MA 01107-1179 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis S Mao | 47 Oxford Dr, Suffern, NY 10901-3955 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dennis S. Hsieh | Newtown, PA 18940 | Physician/surgeon | 2012-08-01 ~ 2013-07-31 |
| Dennis Zoda | 19 Schermerhorn St, Brooklyn, NY 11201-4802 | Physician/surgeon | ~ |
| Dennis F Gross | 900 5th Ave, New York, NY 10021-4157 | Physician/surgeon | 2002-02-13 ~ 2014-05-31 |
| Dennis Maser | 417 Henry St., Herkimer, NY 13350 | Physician/surgeon | 1986-10-03 ~ 1985-05-31 |
| Dennis J Bauman | 104 Juniper Dr, Avon, CT 06001-3440 | Physician/surgeon | 1982-07-09 ~ 1984-08-31 |
| Dennis L Huebner | 12 Park Rd, Woodbury, CT 06798-3429 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dennis Charney Md | 285 Joyce Rd, Hamden, CT 06518 | Physician/surgeon | 2000-03-09 ~ 2001-03-31 |
| Rochelle E. Dennis | 223 Canner St, New Haven, CT 06511-2232 | Physician/surgeon | 1977-10-07 ~ 1980-12-31 |
| Dennis Dolce Md | 338 Meriden Ave, Southington, CT 06489-3627 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).