MELINA FERNANDEZ BRANDT (Credential# 1189377) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
MELINA FERNANDEZ BRANDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052585. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 1220 Crease St, Philadelphia, PA 19125. The current status is inactive.
| Licensee Name | MELINA FERNANDEZ BRANDT |
| Credential ID | 1189377 |
| Credential Number | 1.052585 |
| Credential Type | Physician/Surgeon |
| Business Address |
1220 Crease St Philadelphia PA 19125 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-12-09 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2015-06-30 |
| Refresh Date | 2015-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1198403 | CSP.0056484 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-12-13 | 2013-12-13 - 2015-02-28 | INACTIVE |
| Street Address | 1220 Crease St |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha L Ferris | 2406 Frankford Ave, Philadelphia, PA 19125 | Licensed Clinical Social Worker | ~ |
| Charles Jacquin Et Cie Inc | 2633 Trenton Ave, Philadelphia, PA 19125 | Out of State Shipper Liquor | 2020-07-01 ~ 2021-06-30 |
| Ali Kousari | 2115 E. Sergeant, Philadelphia, PA 19125 | Professional Engineer | 2020-02-03 ~ 2021-01-31 |
| Elisa I Ithier | 1905 East Hagert Street, Philadelphia, PA 19125 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Matthew Isakower | 2344 E Tucker St, Philadelphia, PA 19125 | Home Improvement Salesperson | 2018-12-01 ~ 2019-11-30 |
| Bess Mfg Company | 1807-27 East Huntington St, Philadelphia, PA 19125 | Manufacturer of Bedding & Upholstered Furniture | 2005-05-01 ~ 2006-04-30 |
| Michael J Kokayko | 411 E Moyer St, Philadelphia, PA 19125 | Professional Engineer | 2004-06-22 ~ 2005-01-31 |
| Yards Brewing Company | 2439 Amber St, Philadelphia, PA 19125 | Out of State Shipper Beer | 2005-06-30 ~ 2006-06-29 |
| Elisa I Ithier | 1905 E Hagert St Unit 1, Philadelphia, PA 19125-1208 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Maurice Cooper Et Cie LLC · Maurice Cooper Et Cie | 2633 Trenton Ave Ofc A, Philadelphia, PA 19125-1837 | Liquor Brand Label | 2010-11-05 ~ 2013-11-04 |
| Find all Licenses in zip 19125 | |||
| City | PHILADELPHIA |
| Zip Code | 19125 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melina T Doan Md | Trinity, FL 34655 | Physician/surgeon | 2007-10-03 ~ 2008-10-31 |
| Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anni Brandt | 12024 S Player Dr, Spokane, WA 99223 | Physician/surgeon | 1994-04-13 ~ 1995-03-31 |
| Alexander J Fernandez | 4 Middlebury Ct, Dearborn, MI 48120 | Physician/surgeon | 2008-10-10 ~ 2009-09-30 |
| Mariana Fernandez Md | 39 Buckland St Apt 412-2, Manchester, CT 06040 | Physician/surgeon | 2004-05-07 ~ 2005-06-30 |
| Antonio B Fernandez | 67 Ridgewood Rd, West Hartford, CT 06107 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Emy Leah R Fernandez | 25 Swan Road, Mahwah, NJ 07430 | Physician/surgeon | 2006-03-01 ~ 2007-01-31 |
| Leonardo A Fernandez | 106 Barker Hill, Guilford, CT 06437 | Physician/surgeon | 2005-12-05 ~ 2006-12-31 |
| Andre N Fernandez | 501 Darby Creek Rd, Lexington, KY 40509 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
| Lady A Martinez-fernandez | 207 George Street, Middletown, CT 06457 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
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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).