MARY L GREBENC (Credential# 1160517) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
MARY L GREBENC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052506. The credential type is physician/surgeon. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 5694 Mission Center Rd Ste 602-434, San Diego, CA 92108-4355. The current status is active.
| Licensee Name | MARY L GREBENC |
| Credential ID | 1160517 |
| Credential Number | 1.052506 |
| Credential Type | Physician/Surgeon |
| Business Address |
5694 Mission Center Rd Ste 602-434 San Diego CA 92108-4355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-02 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-06-04 |
| Street Address | 5694 MISSION CENTER RD STE 602-434 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pacifica Innovative Contracting Services Inc · Molinar Construction | 5694 Mission Center Rd # 181, San Diego, CA 92108-4355 | Major Contractor | 2018-10-29 ~ 2019-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Essential Hme | 2831 Camino Del Rio S #110, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-03-05 ~ 2019-06-30 |
| Elite Medical Supply | 2667 Camirio Del Rio S #315, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-01-23 ~ 2019-06-30 |
| Hossein Samadi | 2810 Camino Del Rio, San Diego, CA 92108 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ryan Michael Lennon | 7777 Westside Drive, San Diego, CA 92108 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Sarah Elizabeth Collins | 5080 Camino Del Arroyo Apt 150, San Diego, CA 92108 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
| Eric T Lehmkuhl | 3131 Camino Del Rio N Ste# 1080, San Diego, CA 92108 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gina M Piroscafo | 6586 Friars Rd Apt 203, San Diego, CA 92108 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Ebony Gladys Fahie | 8685 Rio San Diego Drive #4444, San Diego, CA 92108 | Registered Nurse - Temporary | 2019-03-06 ~ 2019-07-04 |
| Avondale | 2020 Camino Del Rio North Ste205, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-09-06 ~ 2019-06-30 |
| Essential Medical Supplies | 2831 Camino Del Rio South #110, San Diego, CA 92108 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2017-10-12 ~ 2018-06-30 |
| Find all Licenses in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN DIEGO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary L Zozulin Md | 60 Westwood Ave Ste 200, Waterbury, CT 06708-2460 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary L Newport | 22 Avonridge, Avon, CT 06001 | Physician/surgeon | 2011-02-01 ~ 2012-01-31 |
| Jessica Mary Lee | 53 Sconset Ln, Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary K Smentek | 78 Olive St #318, New Haven, CT 06510 | Physician/surgeon | 2006-02-06 ~ 2007-02-28 |
| Mary A Nicholas | 26 College St, Old Saybrook, CT 06475 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
| Mary Fiel-gan | 7 Trumbull Ln, Farmington, CT 06032-3061 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Fraga | 26 Clinton Ave, Westport, CT 06880 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mary N Tenenbaum | 282 Perham St, Boston, MA 02132 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MARY L GREBENC.
| 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).