LADY A MARTINEZ-FERNANDEZ (Credential# 1069824) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
LADY A MARTINEZ-FERNANDEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051078. The credential type is physician/surgeon. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 207 George Street, Middletown, CT 06457. The current status is inactive.
| Licensee Name | LADY A MARTINEZ-FERNANDEZ |
| Credential ID | 1069824 |
| Credential Number | 1.051078 |
| Credential Type | Physician/Surgeon |
| Business Address |
207 George Street Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-06-26 |
| Effective Date | 2014-11-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1080720 | CSP.0052876 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-19 | 2013-03-24 - 2015-02-28 | INACTIVE |
| Street Address | 207 George Street |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sylvia M Cavero | 207 George Street, Middletown, CT 06457 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Nicholas A Boemio | 207 George Street, Middletown, CT 06457 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sharon L Lescadre | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ellen E Paklos | 207 George Street, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Daniella E Gould | 207 George Street, Middletown, CT 06457 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Shea Katherine Berry | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Yuko Yamabe | 207 George Street, Middletown, CT 06457 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Samantha Jane Anthony | 207 George Street, Middletown, CT 06457 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Laura J Crandall | 207 George Street, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lidia Mikolaenko | 207 George Street, Middletown, CT 06457 | 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 |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan Levine | 29 Lady Godiva Way, New City, NY 10956-6349 | Physician/surgeon | 2020-04-16 ~ 2021-04-30 |
| Jose P Mendoza Jr | 412 Brookdale Ct, Lady Lake, FL 32162 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Zakia Bell | 3121 Lady Marian Ln, Midlothian, VA 23113-1176 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Paul M Willette | 2120 Sansores St, Lady Lake, FL 32159-9456 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anupama Upadya Md | 5640 Spinnaker Loop, Lady Lake, FL 32159 | Physician/surgeon | 2007-02-12 ~ 2008-02-29 |
| Shrikanth Py Upadya Md | 5640 Spinnaker Loop, Lady Lake, FL 32159 | Physician/surgeon | 2007-08-27 ~ 2008-05-31 |
| Kalpana P Desai | 39835 Grove Heights, Lady Lake, FL 32959 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Mariana Fernandez Md | 39 Buckland St Apt 412-2, Manchester, CT 06040 | Physician/surgeon | 2004-05-07 ~ 2005-06-30 |
| Alexander J Fernandez | 4 Middlebury Ct, Dearborn, MI 48120 | Physician/surgeon | 2008-10-10 ~ 2009-09-30 |
| Andre N Fernandez | 501 Darby Creek Rd, Lexington, KY 40509 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
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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).