SERGIO MEJIA MD (Credential# 149977) 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.
SERGIO MEJIA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011384. 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 67 Sycamore Rd, W Hartford, CT 06117. The current status is active.
| Licensee Name | SERGIO MEJIA MD |
| Credential ID | 149977 |
| Credential Number | CSP.0011384 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
67 Sycamore Rd W Hartford CT 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-08-30 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 544864 | 1.024051 | Physician/Surgeon | 1983-02-22 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 67 SYCAMORE RD |
| City | W HARTFORD |
| State | CT |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | W HARTFORD |
| Zip Code | 06117 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + W HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jose G Mejia Md | 350 W 50th St Apt 3ee, New York, NY 10019-6694 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Victor M Mejia | 112 Quarry Rd, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alex V Mejia Md | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Sergio Serrano Dvm | 54 Quintard Ave, Norwalk, CT 06854-3736 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sergio A Yero Md | 900 Chapel St Apt 504, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Sergio G Manimbo | 4 Hospital Plaza, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sergio E Sanchez-velasco | 2 Blenheim Ter, Farmington, CT 06032-1454 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sergio Narvaez | 392 Central Park W Apt 17, New York, NY 10025-5860 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Julieta Maria Munoz Mejia | 360 State Street Apt 2917, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-08-01 ~ 2021-02-28 |
| Sergio R Casillas-romero Md | 20 Weber Farm Road, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).