EMILIO G. ANDRADE
Physician/surgeon


Address: 7924 Pam Street, Plano, TX 75024

EMILIO G. ANDRADE (Credential# 1048785) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is November 30, 2017. The license status is INACTIVE.

Business Overview

EMILIO G. ANDRADE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050707. The credential type is physician/surgeon. The effective date is December 1, 2016. The expiration date is November 30, 2017. The business address is 7924 Pam Street, Plano, TX 75024. The current status is inactive.

Basic Information

Licensee Name EMILIO G. ANDRADE
Credential ID 1048785
Credential Number 1.050707
Credential Type Physician/Surgeon
Business Address 7924 Pam Street
Plano
TX 75024
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-03-14
Effective Date 2016-12-01
Expiration Date 2017-11-30
Refresh Date 2018-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
446221 CSP.0039870 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-10-19 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 7924 Pam Street
City Plano
State TX
Zip Code 75024

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Sharon L Lane 4600 Putnam Drive, Plano, TX 75024 Registered Nurse 2019-09-01 ~ 2020-08-31
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Competitor

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City Plano
Zip Code 75024
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Plano

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Dataset Information

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).

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