MANUEL L FAJARDO (Credential# 1243665) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MANUEL L FAJARDO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058655. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 87 Ohio Ave, Long Beach, NY 11561. The current status is active.
| Licensee Name | MANUEL L FAJARDO |
| Credential ID | 1243665 |
| Credential Number | CSP.0058655 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
87 Ohio Ave Long Beach NY 11561 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-09-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1223687 | 1.053519 | Physician/Surgeon | 2014-09-04 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Manuel L Fajardo | 50 Terrace St, New Haven, CT 06512-2622 | Asbestos Abatement Worker | 2014-02-26 ~ 2014-10-31 |
| Street Address | 87 ohio ave |
| City | long beach |
| State | NY |
| Zip Code | 11561 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tara Hannah Shouldis | 75 Virginia Ave., Long Beach, NY 11561 | Registered Nurse | 2020-05-27 ~ 2021-03-31 |
| Dina Sverra Vais | 832 East Chester Street, Long Beach, NY 11561 | Registered Nurse - Temporary | 2020-03-13 ~ 2020-07-11 |
| Bruce L Shepard | 630 Shore Road, Long Beach, NY 11561 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Brian J Lewy | 185 Madison Ave., 2nd Floor, New York, NY 11561 | Optometrist | 2020-04-01 ~ 2021-03-31 |
| Herman J Silverberg | 33 Greenway Rd, Lido Beach, NY 11561 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jeffrey A Rabiner | 263 W. Beech St, Long Beach, NY 11561 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christine R Schwartz | 71 Kirkwood Street, Long Beach, NY 11561 | Notary Public Appointment | 2012-02-01 ~ 2017-01-31 |
| Rosemarie L Melendez | 709 East Walnut Street, Long Beach, NY 11561 | Notary Public Appointment | 2001-02-13 ~ 2006-02-28 |
| Joanne H Lugo | 55 Monroe Blvd, Long Beach, NY 11561 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Lisa Claudia Ferrara | 532 West Walnut Street, Long Beach, NY 11561 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 11561 | |||
| City | long beach |
| Zip Code | 11561 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + long beach |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elaine C. Fajardo Md | 333 Cedar St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manuel R Deaguirre | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2010-07-23 ~ 2011-02-28 |
| Manuel A Sato | 102 Hillside Ln, Monroe, CT 06468-3309 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manuel Nunes | 265 Meriden Rd, Waterbury, CT 06705 | Controlled Substance Registration for Practitioner | 2001-02-27 ~ 2003-02-28 |
| Manuel A Falcon Aprn | 12 Chapin Pl, Hartford, CT 06114-1901 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Manuel A Moya Tapia | 80 Seymour St, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manuel T Borges | Hospital of St.raphael, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-03 ~ 2009-02-28 |
| Manuel E Babaian | 101 Harbour Close, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Manuel L Fontes | 2367 Durham Rd, Madison, CT 06443 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manuel E Kadish | 74 Brown School Rd, Preston, CT 06365 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on MANUEL L FAJARDO.
| 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).