PATRICIA EILLEN PALOS (Credential# 1294366) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.
PATRICIA EILLEN PALOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054416. The credential type is physician/surgeon. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 901 Avenue St, Mcdonough, GA 30253-7633. The current status is inactive.
| Licensee Name | PATRICIA EILLEN PALOS |
| Credential ID | 1294366 |
| Credential Number | 1.054416 |
| Credential Type | Physician/Surgeon |
| Business Address |
901 Avenue St Mcdonough GA 30253-7633 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-07-22 |
| Effective Date | 2016-04-01 |
| Expiration Date | 2017-03-31 |
| Refresh Date | 2017-07-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1295769 | CSP.0060752 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-08-14 | 2015-08-14 - 2017-02-28 | INACTIVE |
| Street Address | 901 AVENUE ST |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-7633 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Medline Industries Inc | 1500 Medline Place, Mcdonough, GA 30253 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Darrell R Belcher | 917 Ivy Brook Ct, Mc Donough, GA 30253 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Donna Joyce-marie Dennis | 650 Hennepin Terrace, Mcdonough, GA 30253 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Tonya La'trice Abdul-shaheed | 135 Bo Simpson Parkway, Mcdonough, GA 30253 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Ricardo H Archbold | 146 Crown Park Drive, Mcdonough, GA 30253 | Tax Preparer/facilitator Permit | 2018-10-14 ~ 2020-10-31 |
| Spring Wheat Bakers | 108 Declaration Drive, Mcdonough, GA 30253 | Bakery | 2001-01-10 ~ 2001-06-30 |
| Constovious Ann Tolbert | 1130 White Petal Cove, Mcdonough, CT 30253 | Registered Nurse - Temporary | 2017-07-27 ~ 2017-11-23 |
| Lorrie L Curry | 75 Maygold Street, Mcdonough, GA 30253 | Licensed Practical Nurse | 2015-12-01 ~ 2016-11-30 |
| Brent W Owens | 330 Greenwood Place, Mcdonough, GA 30253 | Professional Engineer | 2011-02-01 ~ 2012-01-31 |
| Claudia Y Washington | 333 Coral Circle, Mcdonough, GA 30253 | Registered Nurse - Temporary | 2015-10-20 ~ 2016-02-16 |
| Find all Licenses in zip 30253 | |||
| City | MCDONOUGH |
| Zip Code | 30253 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MCDONOUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric J Arosemena | 1701 Palos Verdes, Palos Verdes Estate, CA 90274 | Physician/surgeon | 1999-12-23 ~ 2000-11-30 |
| Aimee Soyun Paik | 1033 Los Palos Dr, Salinas, CA 93901 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Steven D Picerne | 646 Palos Verde Dr, Satellite Beach, FL 32937 | Physician/surgeon | 2015-02-01 ~ 2016-01-31 |
| Beata I Styka | 12130 S Harlem Ave Ste B, Palos Heights, IL 60463-1459 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susan S Sheridan | 2037 Upland St, Rancho Palos Verdes, CA 90275 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Sanober Salam Khan | 10630 Grandview Drive, Palos Park, IL 60464 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Harjot Gill | 26703 Shadow Wood Drive, Rancho Palos Verdes, CA 90275 | Physician/surgeon | 2008-07-21 ~ 2009-06-30 |
| Patricia C Fitzgibbons | 8 Old Timber Ln, Palos Park, IL 60464-1527 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Eillen Fernandez Luster | 24622 Okehampton Dr, Tomball, TX 77375-3259 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Patricia D Beliveau | 194 W Bay Rd, Islesboro, ME 04848-4707 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
Please comment or provide details below to improve the information on PATRICIA EILLEN PALOS.
| 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).