PHILIP J CONFORTI (Credential# 741660) is licensed (Dental Anesthesia/conscious Sedation Permit) 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.
PHILIP J CONFORTI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #22.006826. The credential type is dental anesthesia/conscious sedation permit. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2560 Dixwell Avenue, Hamden, CT 06514. The current status is active.
| Licensee Name | PHILIP J CONFORTI |
| Credential ID | 741660 |
| Credential Number | 22.006826 |
| Credential Type | Dental Anesthesia/Conscious Sedation Permit |
| Business Address |
2560 Dixwell Avenue Hamden CT 06514 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1988-04-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154680 | CSP.0014183 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-05-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 701670 | 2.006826 | Dentist | 1986-05-10 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 2560 DIXWELL AVENUE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
| Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
| Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| License Type | Dental Anesthesia/Conscious Sedation Permit |
| License Type + County | Dental Anesthesia/Conscious Sedation Permit + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos R Ibanez Md | School of Dental Medicine/omfs-l7073, Farmington, CT 06030 | Dental Anesthesia/conscious Sedation Permit | 2008-05-16 ~ 2009-06-30 |
| Scott T Claiborne | 140 Huyshope Ave Apt 623, Hartford, CT 06106-2870 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Stuart E Lieblich | 34 Dale Rd, Avon, CT 06001 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Donald J Case Dmd | 27 Bridge St, Stamford, CT 06905 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Ira N Slow Dmd | 1825 Barnum Ave, Stratford, CT 06614-5333 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Andrew F Keene | 30 Currier Way, Cheshire, CT 06410-1468 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Karen S. Ablow | 145 Durham Rd Ste 2, Madison, CT 06443-2656 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Stephen J Bosco | 1 Lake St, New Britain, CT 06052-1396 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Anthony Camillo | 107 Newtown Rd Ste 1a, Danbury, CT 06810-4151 | Dental Anesthesia/conscious Sedation Permit | 2020-06-01 ~ 2021-05-31 |
| Jordan A Greenberg | 500 E Main St Ste 216, Branford, CT 06405-2937 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on PHILIP J CONFORTI.
| 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).