ADRIENE R. MILLER (Credential# 1142208) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
ADRIENE R. MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051648-DO. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 4832 Esedra Ct Apt 106, Lake Worth, FL 33467-5137. The current status is active.
Licensee Name | ADRIENE R. MILLER |
Credential ID | 1142208 |
Credential Number | 1.051648-DO |
Credential Type | Physician/Surgeon |
Credential SubCategory | DO |
Business Address |
4832 Esedra Ct Apt 106 Lake Worth FL 33467-5137 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-02-25 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-11-25 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1152821 | CSP.0054352 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-12 | 2017-03-01 - 2019-02-28 | INACTIVE |
Street Address | 4832 ESEDRA CT APT 106 |
City | LAKE WORTH |
State | FL |
Zip Code | 33467-5137 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacy Alex Robinson | 8246 Azur Coast Boulevard, Lake Worth, FL 33467 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Rajdeep P Parmar | 7021 Peninsula Lake Ct, Lake Worth, FL 33467 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Suzan Leigh Patton | 9354 Corral View, Lakeworth, FL 33467 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Ronald P Kennedy | 6797 Fountains Circle, Lake Worth, FL 33467 | Notary Public Appointment | 2019-10-01 ~ 2024-09-30 |
Manuel Bienvenido Montes De Oca | 9232 Pineville Drive, Lake Worth, FL 33467 | Physician/surgeon | 2019-10-04 ~ 2020-04-30 |
Virginia A Downing | 3339 Lucerne Park Drive Bldg #7, Greenacres, FL 33467 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Judith G Jones | 7570 Briar Cliff, Lake Worth, FL 33467 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Randi Sue Margolis | 8541 Cypress Glen Court, Lake Worth, FL 33467 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Gasparino D Mazzei | 4405 Hunting Trail, Lake Worth, FL 33467 | Heating, Piping & Cooling Limited Journeyperson | 2017-09-02 ~ 2018-08-31 |
Meyer Ginsberg · Allor Company | 6755 Wheaton Lane, Lake Worth, FL 33467 | Home Improvement Contractor | 2007-12-01 ~ 2008-11-30 |
Find all Licenses in zip 33467 |
City | LAKE WORTH |
Zip Code | 33467 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + LAKE WORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Audrey F Miller Md | Physician/surgeon | 2010-06-01 ~ 2011-05-31 | |
Dorothy A Miller | 110 Fisher Ave Apt 3f, Eastchester, NY 10709-2620 | Physician/surgeon | ~ |
Leo R Miller | 268 Hillspoint Rd, Westport, CT 06880 | Physician/surgeon | 1996-02-08 ~ 1997-03-31 |
Buol Heslin | 33 Miller St, Fairfield, CT 06430 | Physician/surgeon | 1996-02-13 ~ 1997-02-28 |
Ronald L Miller | 98 Woodbridge Ave, New Haven, CT 06515-2034 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Michael A Miller | 54 Clark St., New Haven, CT 06511 | Physician/surgeon | 2008-05-01 ~ 2009-04-30 |
Donald E Miller | 44 Sunset Ter, Essex, CT 06426-1025 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Beth E. Miller | 1300 Chinquapin Rd, Churchville, PA 18966-4610 | Physician/surgeon | ~ |
Kenneth D Miller | 66 E India Row, Boston, MA 02110-3306 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
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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).