FRED JEAN (Credential# 1131544) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.
FRED JEAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052414. The credential type is physician/surgeon. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 2900 Nw 125th Ave Apt 316, Sunrise, FL 33323-6330. The current status is inactive.
| Licensee Name | FRED JEAN |
| Credential ID | 1131544 |
| Credential Number | 1.052414 |
| Credential Type | Physician/Surgeon |
| Business Address |
2900 Nw 125th Ave Apt 316 Sunrise FL 33323-6330 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-09-18 |
| Effective Date | 2015-02-01 |
| Expiration Date | 2016-01-31 |
| Refresh Date | 2016-05-05 |
| Street Address | 2900 NW 125TH AVE APT 316 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-6330 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rolan Sugatan Occe�a | 1580 Sawgrass Corporate Parkway Suite #200, Sunrise, FL 33323 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Katherine So Dayego | 1580 Sawgrasss Corporate Parkway Suite#200, Sunrise, CT 33323 | Physical Therapist | ~ |
| Mary Kris Joy Alcantara Aguilo | Blk 16 Lot 2 Parkplace Brgy. San Rafael Sto. Tomas, Sto. Tomas, CT 33323 | Physical Therapist | ~ |
| Nicholas Hogan Dibble | 11630 Nw 26th Street, Plantation, FL 33323 | Physical Therapist | 2019-06-13 ~ 2019-11-30 |
| Joseph Levi Staggenborg | 1301 Concord Terrace, Sunrise, FL 33323 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Kalenina Nathalia A Javier | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Maureen A Doherty | 1613 N. Harrison Parkway, Sunrise, FL 33323 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Candice Mae Franco Calonia | Medpro Health Care Staffing, Sunrise, FL 33323 | Physical Therapist | 2019-11-01 ~ 2020-11-30 |
| Estreno Pharmaceuticals LLC | 1560 Sawgrass Corporate Parkway, 4th Floor, Sunrise, FL 33323 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-08-01 ~ |
| Alicia Arpa | 1340 Concord Terrace, Sunrise, FL 33323 | Registered Nurse - Temporary | 2019-02-19 ~ 2019-06-19 |
| Find all Licenses in zip 33323 | |||
| City | SUNRISE |
| Zip Code | 33323 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SUNRISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fred M Cutrer | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2016-12-28 ~ 2017-07-31 |
| Fred F Tilden Md | 36 Bainbridge Rd, W Hartford, CT 06119 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Fred H Kohanna | 1 Buttonwood Way, Littleton, MA 01460-2244 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Fred Gibson | 260 Knollwood Dr, New Haven, CT 06515-2414 | Physician/surgeon | 2003-03-31 ~ 2004-03-31 |
| Fred J Powell | 35 Townsend Pl, Saint Augustine, FL 32092-1855 | Physician/surgeon | ~ |
| Fred L Fishman | 333 Birchwood Ave, Deerfield, IL 60015-4714 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Fred S Gorelick | P.o.box 3066, Branford, CT 06401 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Fred Rincon | 1 Becca Way, Allentown, NJ 08501 | Physician/surgeon | 2007-09-10 ~ 2008-05-31 |
| Fred M.h Ziter Jr | 5 Butternut Circle, Wethersfield, CT 06109 | Physician/surgeon | 2015-11-01 ~ 2016-10-31 |
| Jacquelyn R Kimball | 151 Fred Jackson Rd, Southwick, MA 01077-9712 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).