ANA E TAVERAS PANTALEON (Credential# 952532) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.
ANA E TAVERAS PANTALEON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049249. The credential type is physician/surgeon. The effective date is May 1, 2014. The expiration date is April 30, 2015. The business address is 1450 Chapel St, New Haven, CT 06511. The current status is inactive.
| Licensee Name | ANA E TAVERAS PANTALEON |
| Credential ID | 952532 |
| Credential Number | 1.049249 |
| Credential Type | Physician/Surgeon |
| Business Address |
1450 Chapel St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-09-28 |
| Effective Date | 2014-05-01 |
| Expiration Date | 2015-04-30 |
| Refresh Date | 2015-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 945688 | CSP.0048336 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-07-29 | 2013-03-13 - 2015-02-28 | INACTIVE |
| Street Address | 1450 Chapel St |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernest D Moritz | 1450 Chapel St, New Haven, CT 06511-4405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Brandon Weimer | 1450 Chapel St, New Haven, CT 06515 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brennan B. Bowker Pa-c | 1450 Chapel St, New Haven, CT 06511-4405 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Indu Varghese | 1450 Chapel St, New Haven, CT 06511-4405 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ellen C Rubin Aprn | 1450 Chapel St, New Haven, CT 06511 | Advanced Practice Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Gwendeline Demers Pa | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas S Rank Aprn | 1450 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yale New Haven Hospital At Saint Raphael Campus | 1450 Chapel St, New Haven, CT 06511-4405 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Alan F Ruskis | 1450 Chapel St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John T Dunlop | 1450 Chapel St, New Haven, CT 06519-1106 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric O Pantaleon | 4505 Sw 152nd Ave, Miramar, FL 33027-3357 | Physician/surgeon | ~ |
| Pantaleon Contracting Co LLC | 90 Virgil St, Stamford, CT 06902-4748 | Home Improvement Contractor | 2007-12-12 ~ 2008-11-30 |
| Taveras Mini Market LLC | 475 Harral Ave, Bridgeport, CT 06604-3143 | Non Legend Drug Permit | 2012-09-14 ~ 2013-12-31 |
| Taveras Mini Market | 475 Harral Ave, Bridgeport, CT 06604-3143 | Retail Dairy Store | 2012-12-04 ~ 2013-06-30 |
| Jasmin D Pantaleon | 253 Seaside Ave, Stamford, CT 06902 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jorge Pantaleon | 30 Juniper St., #2, Lawrence, MA 01841 | Asbestos Abatement Worker | 2006-10-18 ~ 2007-07-31 |
| Maria N Pantaleon | 1655 Post Rd E #1, Westport, CT 06880 | Real Estate Salesperson | ~ |
| Estheffy Gonzalez-pantaleon · Maple Deli Mini Market | 717 Kossuth St, Bridgeport, CT 06608-1906 | Grocery Beer | 2019-09-10 ~ 2020-09-09 |
| Ada Taveras | 130 Sylvan Ave., CT 06519 | Hairdresser/cosmetician | 2011-06-07 ~ 2012-09-30 |
| Juan C Taveras | 86 Vista Drive, Easton, CT 06612 | Dentist | 2019-08-01 ~ 2020-07-31 |
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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).