MICHAEL F DITILLO (Credential# 565479) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.
MICHAEL F DITILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047897-DO. The credential type is physician/surgeon. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 330 Cedar Street Bb310, New Haven, CT 06520-8062. The current status is inactive.
Licensee Name | MICHAEL F DITILLO |
Credential ID | 565479 |
Credential Number | 1.047897-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
330 Cedar Street Bb310 New Haven CT 06520-8062 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-07-01 |
Effective Date | 2017-05-01 |
Expiration Date | 2018-04-30 |
Refresh Date | 2018-08-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
537910 | CSP.0045968 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-07-20 | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 330 Cedar Street BB310 |
City | New Haven |
State | CT |
Zip Code | 06520-8062 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kristin D Oliveira | Po Box 208062, New Haven, CT 06520-8062 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Daniel J Boffa | 330 Cedar St # Bb205, New Haven, CT 06520-8062 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Vikram B Reddy Md | Yale-dept. of Surgery, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Daniel J Boffa Md | Yale Thoracic Surgery, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dirk C Johnson Md | 330 Cedar Street, Bb310, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anthony W Kim | Yale University School of Medicine/thoracic Surger, New Haven, CT 06520-8062 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
Sanjay Kulkarni | 333 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David C Mulligan | Po Box 208062, New Haven, CT 06520-8062 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Bishwajit Bhattacharya Md | 330 Cedar Street, New Haven, CT 06520-8062 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Frank C Detterbeck Md | Yale Thoracic Surgery, New Haven, CT 06520-8062 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06520-8062 |
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 |
---|---|---|---|
Lynda J Ditillo | 272 Capitol Ave, Waterbury, CT 06705 | Licensed Practical Nurse | 2012-07-01 ~ 2013-06-30 |
Philip Ditillo | 264 Davis St, Oakville, CT 06779 | Notary Public Appointment | 1987-09-01 ~ 1992-03-31 |
Rita G Ditillo | 115 Dracut Avenue, Waterbury, CT 06704 | Family Child Care Assistant | 1999-12-31 ~ 1999-12-31 |
Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
Michael P Goldman | 15 Elm Pl, Greenwich, CT 06830-6615 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Michael F Angel | 751 Mix Ave, Hamden, CT 06514-2227 | Physician/surgeon | 1982-02-10 ~ 1984-04-30 |
Michael W Berg | Rr 3 Box 175, Los Fresnos, TX 78566 | Physician/surgeon | 2003-12-22 ~ 2005-02-28 |
Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
Michael Grasso | 3 Keane Ct, Rye, NY 10580-1144 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).