EDWARD T TREVINO (Credential# 1164591) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2014. The license expiration date date is August 31, 2015. The license status is INACTIVE.
EDWARD T TREVINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052307. The credential type is physician/surgeon. The effective date is September 1, 2014. The expiration date is August 31, 2015. The business address is 7900 E 126th St S #836, Bixby, OK 74008. The current status is inactive.
| Licensee Name | EDWARD T TREVINO |
| Credential ID | 1164591 |
| Credential Number | 1.052307 |
| Credential Type | Physician/Surgeon |
| Business Address |
7900 E 126th St S #836 Bixby OK 74008 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-08-01 |
| Effective Date | 2014-09-01 |
| Expiration Date | 2015-08-31 |
| Refresh Date | 2015-12-04 |
| Street Address | 7900 E 126th St S #836 |
| City | Bixby |
| State | OK |
| Zip Code | 74008 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katie Marie Rodgers | 13521 E. 205th St. S., Bixby, OK 74008 | Registered Nurse | ~ |
| Sandra Olivia Forbes | 13527 South 91 East Ave, Bixby, OK 74008 | Registered Nurse | 2018-07-25 ~ 2019-07-31 |
| Lynden L Burrow | 12966 E 181st St So, Bixby, OK 74008 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Brian Howell | 1906 E 135th St S, Bixby, OK 74008-1018 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robert L Moreland | 6651 E 127th St S, Bixby, OK 74008-2352 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| World Changers International Ministries · Native American Children's Fund | 13716 S 28th St, Bixby, OK 74008-3877 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Diana Tokarev | 7735 E Links Blvd Apt 204, Bixby, OK 74008-5040 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Jennifer Lynn Stokes | 8640 E 169th St S, Bixby, OK 74008-6104 | Registered Nurse | 2019-09-12 ~ 2020-06-30 |
| City | Bixby |
| Zip Code | 74008 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bixby |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina Trevino | 289 Park Street, West Haven, CT 06516 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Edward E Serafin · Psi Energy Services | 40041 Trevino Ln, Antioch, IL 60002 | Heating, Piping & Cooling Limited Journeyperson | 2003-09-01 ~ 2004-08-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
| Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Emily Chin Do | 245 Edward J Roy Dr Apt 104, Manchester, NH 03104 | Physician/surgeon | 2004-03-12 ~ 2005-03-31 |
| Dmitriy Kireyev | 28 Edward Dr, Winchester, MA 01890-3601 | Physician/surgeon | 2015-11-27 ~ 2016-06-30 |
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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).