JOSEPH TYLER MCRUIZ (Credential# 1281249) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
JOSEPH TYLER MCRUIZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054293. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 122 Overton Farm Rd, Southbury, CT 06488-2400. The current status is active.
| Licensee Name | JOSEPH TYLER MCRUIZ |
| Credential ID | 1281249 |
| Credential Number | 1.054293 |
| Credential Type | Physician/Surgeon |
| Business Address |
122 Overton Farm Rd Southbury CT 06488-2400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-25 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1042628 | CSP.0051732 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-01-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1080743 | CSP.0052889 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 122 OVERTON FARM RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle K Mcruiz | 122 Overton Farm Rd, Southbury, CT 06488-2400 | Physician Assistant | 2017-01-01 ~ 2017-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle K Mcruiz | 122 Overton Farm Rd, Southbury, CT 06488-2400 | Physician Assistant | 2017-01-01 ~ 2017-12-31 |
| Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Jeffrey T Tyler | 196 Jackson Ave, Stratford, CT 06497 | Physician/surgeon | 1981-11-02 ~ 1989-02-28 |
| Tyler Curiel | 94 Bishop St., New Haven, CT 06511 | Physician/surgeon | 1985-07-01 ~ 1987-03-31 |
| James R Flink | 2 Tyler Ave., Branford, CT 06405 | Physician/surgeon | 1978-06-12 ~ 1983-07-31 |
| Trung Nam Nguyen | 4293 Kinsey Dr, Tyler, TX 75703 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Erin L Phillips | 7780 Hollytree Dr, Tyler, TX 75703-0988 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mariam Farhan | 76 Tyler Hill Rd, Naugatuck, CT 06770-3193 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John S Clarke | 1545 Cumberland Rd, Tyler, TX 75703 | Physician/surgeon | 2001-02-09 ~ 2002-02-28 |
Please comment or provide details below to improve the information on JOSEPH TYLER MCRUIZ.
| 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).