SHERLINE AGENA (Credential# 1255987) is licensed (Naturopathic Physician) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
SHERLINE AGENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #5.000536. The credential type is naturopathic physician. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 75 Shirley Ln, Medford, NY 11763-1317. The current status is active.
| Licensee Name | SHERLINE AGENA |
| Credential ID | 1255987 |
| Credential Number | 5.000536 |
| Credential Type | Naturopathic Physician |
| Business Address |
75 Shirley Ln Medford NY 11763-1317 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-01-15 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-09-04 |
| Street Address | 75 SHIRLEY LN |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-1317 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Accuvein Inc. | 3243 Route 112, Bldg 1, Ste 2, Medford, NY 11763 | Securities - Exemptions | 2020-05-20 ~ |
| Ashley Culoso | 23 Matsunaye Dr, Medford, NY 11763 | Master's Level Social Worker | 2020-04-06 ~ 2020-11-30 |
| Accuvein, Inc. | 3243 Route 112, Building I, Medford, NY 11763 | Securities - Exemptions | 2019-11-18 ~ |
| Jeremy D Stoll | 2002 Wave Ave, Milford, NY 11763 | Home Improvement Salesperson | 2000-12-12 ~ 2001-11-30 |
| Nicholas Polito | 12 Swisstone St, Medford, NY 11763 | Home Improvement Salesperson | 2002-12-03 ~ 2003-11-30 |
| Consumer Fence Corp | 3139 Route 112, Medford, NY 11763 | Home Improvement Contractor | 2008-02-11 ~ 2008-11-30 |
| Cynthia D Bailey | 12 Florida Ave, Medford, NY 11763 | Real Estate Salesperson | 2004-01-14 ~ 2004-05-31 |
| Allen Roger Washington | 1118 Bedford, Medford, NY 11763 | Master's Level Social Worker | 2016-01-01 ~ 2016-12-31 |
| Sharon A Thumm | 1839 Route 112, Medford, NY 11763 | Hairdresser/cosmetician | 2010-04-01 ~ 2012-03-31 |
| Albert A Capraro | 2716 Gull Ave, Medford, NY 11763 | Automotive Glass Unlimited Contractor | 2010-09-01 ~ 2011-08-31 |
| Find all Licenses in zip 11763 | |||
| City | MEDFORD |
| Zip Code | 11763 |
| License Type | Naturopathic Physician |
| License Type + County | Naturopathic Physician + MEDFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Sherline Md | 495 Deercliff Rd, Avon, CT 06001 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Joyce M Agena | C/o Rymek Enterprises, Paramus, NJ 07652 | Registered Nurse | 2004-12-15 ~ 2005-11-30 |
| Agena F Mondelice | 1505 Adele Ct, Elmont, NY 11003 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Sherline J Siu | 19 Lilac St, Manchester, CT 06040-3929 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
| Sherline Themelus | 6 Vail St, Norwalk, CT 06850-2013 | Registered Nurse | 2020-04-21 ~ 2021-01-31 |
| Sherline Constant | 7319 Thouron Ave, Philadelphia, PA 19138-1224 | Registered Nurse | 2019-12-18 ~ 2020-09-30 |
| Nadia Sherline Md | 495 Deercliff Rd, Avon, CT 06001-2822 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jennifer L Tuttle | CT | Naturopathic Physician | ~ |
| Ann M Lee | 112 N Cornell Ave, Lancaster, PA 17603-4502 | Naturopathic Physician | 2010-10-06 ~ 2011-09-30 |
| Candice J Scholl | 55 Blackstone Rd, Attleboro, MA 02703-2644 | Naturopathic Physician | ~ |
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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).