ANNE K MERRITT (Credential# 1006249) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNE K MERRITT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050260. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 938 Willowleaf Drive, San Jose, CA 95128. The current status is active.
| Licensee Name | ANNE K MERRITT |
| Credential ID | 1006249 |
| Credential Number | 1.050260 |
| Credential Type | Physician/Surgeon |
| Business Address |
938 Willowleaf Drive San Jose CA 95128 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 895539 | CSP.0046642 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 938 Willowleaf Drive |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam R Silverman | 1087 Empey Way, San Jose, CA 95128 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Geary Wong | 777 Turner Drive Suite 330, San Jose, CA 95128 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nicole R Jensen | 1481 Alegria Loop, San Jose, CA 95128 | Physical Therapist | 2002-07-25 ~ 2003-09-30 |
| Imelda D Albano | 921 Catkin Ct, San Jose, CA 95128 | Registered Nurse | 1992-11-24 ~ 1993-11-30 |
| Anthony Cozzolino | 801 S. Winchester Blvd., #3101, San Jose, CA 95128 | Physician/surgeon | 2005-08-15 ~ 2006-09-30 |
| Si-bone Inc | 3055 Olin Ave Ste 2200, San Jose, CA 95128-2066 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2017-07-01 ~ 2018-06-30 |
| Ryan Mateo Ayson | 529 Clifton Ave, San Jose, CA 95128-2316 | Registered Nurse - Temporary | 2019-10-29 ~ 2020-02-26 |
| Maya N Raza | 2762 Scott St, San Jose, CA 95128-5105 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kayla Rose King | 3180 Rubino Dr Apt 217, San Jose, CA 95125-6371 | Occupational Therapist | ~ |
| B Davis Inc | 1441a Terminal Ave, San Jose, CA 95112-4314 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| John Lambros Siderides | 3473 North 1st Street, Apartment 580, San Jose, CA 95134 | Architect | 2020-08-01 ~ 2021-07-31 |
| Victoria Huynh Phan | 2498 Kenoga Dr., San Jose, CA 95121 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Pamela A Cunningham | 1223 Weeping Oaks Court, San Jose, CA 95120 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Western Mountain Sports | 1025 S 5th St, San Jose, CA 95112 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-28 ~ 2021-04-30 |
| Jenny S. Sam Ho | 1469 Asheboro Ct., San Jose, CA 95131 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Second Harvest of Silicon Valley | 750 Curtner Ave, San Jose, CA 95125-2113 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Claudine Lott | 145 Nicholson Ln, San Jose, CA 95134-1359 | Physician/surgeon | ~ |
| Amanda Liu | 4207 Hamilton Ave, San Jose, CA 95130-1462 | Registered Nurse | 2020-05-12 ~ 2020-12-31 |
| Find all Licenses in SAN JOSE | |||
| City | SAN JOSE |
| Zip Code | 95128 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN JOSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Glenn C Griffiths | 11 Merritt Dr., Paquoson, VA 23662 | Physician/surgeon | 1988-05-06 ~ 1994-11-30 |
| Mitchell H Brezel | 37 Merritt Ave, Woodbridge, CT 06525 | Physician/surgeon | 1993-08-25 ~ 1994-07-31 |
| John A Merritt | Dept of Med, New Haven, CT 06511 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Cynthia H Halcin | 1020 Meadowlark Ln, Merritt Island, FL 32953 | Physician/surgeon | 1996-09-10 ~ 1997-09-30 |
| Stephen J Watts | 8940 S Tropical Tr, Merritt Island, FL 32952 | Physician/surgeon | 1995-08-29 ~ 1996-08-31 |
| Bharat C Patel | 4091 Tradewinds Trail, Merritt Island, FL 32953 | Physician/surgeon | 2006-09-26 ~ 2007-11-30 |
| Ross G. Hoffman | 8115 South Tropical Trail, Merritt Island, FL 32952 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Anne S Davidson | Randolph, NJ 07869-1243 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Anne Pearl | 17 Keeler Pl, Ridgefield, CT 06877 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).