MARTHA LOPEZ (Credential# 1330082) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARTHA LOPEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054980. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 123 Green Hill Rd, Longmeadow, MA 01106. The current status is active.
| Licensee Name | MARTHA LOPEZ |
| Credential ID | 1330082 |
| Credential Number | 1.054980 |
| Credential Type | Physician/Surgeon |
| Business Address |
123 Green Hill Rd Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-03-09 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1351853 | CSP.0062591 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-05-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 478954 | CSP.0042138 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-08-09 | 2008-03-01 - 2009-02-28 | INACTIVE |
| Street Address | 123 Green Hill rd |
| City | Longmeadow |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | Longmeadow |
| Zip Code | 01106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Longmeadow |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roy P Simmons | 4315 Martha Ave, Woodlawn, NY 10470 | Physician/surgeon | 2013-07-01 ~ 2014-06-30 |
| Martha Praught | 131 Birch St, Roslindale, MA 02131-3431 | Physician/surgeon | 1987-03-13 ~ 1992-03-31 |
| Martha A Howard Md | 206 Church St, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Martha Buitrago Md | 36 Lincoln St, New Haven, CT 06511 | Physician/surgeon | 2002-01-24 ~ 2003-02-28 |
| Martha Lauster | 360 3rd Street Suite 425, San Francisco, CA 94107 | Physician/surgeon | ~ |
| Martha Kushnir | 31 Pointe Rok Drive, Worcester, MA 01604 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Martha Sliwowski | 209 Hathaway Street, Wallington, NY 07057 | Physician/surgeon | 2002-08-15 ~ 2003-08-31 |
| Martha Brochin Md | 9 Washington Avenue, Hamden, CT 06518 | Physician/surgeon | 2002-12-19 ~ 2004-02-29 |
| Martha Tepas Desbiens | 33 Germantown Rd, Danbury, CT 06810-5038 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Martha M Greenwood Md | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on MARTHA LOPEZ.
| 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).