ALEXANDER KAZOS (Credential# 1513882) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ALEXANDER KAZOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062029. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 307 S Evergreen Ave, Woodbury, NJ 08096-2739. The current status is active.
| Licensee Name | ALEXANDER KAZOS |
| Credential ID | 1513882 |
| Credential Number | 1.062029 |
| Credential Type | Physician/Surgeon |
| Business Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-16 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1614407 | CSP.0069860 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-14 | 2019-03-12 - 2021-02-28 | ACTIVE |
| Street Address | 307 S EVERGREEN AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-2739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rick Daniel Ornum Figurasin | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph Sehwa Tsao | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edwin Tower Layng | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Timothy Dale Jayne Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael John Garcia Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kayleigh Gromilovitz Pung | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Victoria Rose Feist | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Michael Bernard Valletta | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Russell Julius Pearl | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2018-01-29 ~ 2019-02-28 |
| Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D Kurt Acker | 135 Grant Ave, Deptford Township, NJ 08096 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Janea Mary Gibbs | Po Box 5253, Deptford, NJ 08096 | Registered Nurse - Temporary | 2020-03-17 ~ 2020-07-15 |
| Timothy Paul Dotzler | Teamhealth Northeast Group, Waterbury, NJ 08096 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffany Tapp | 29 N Main St., Norwalk, CT 08096 | Massage Therapist | ~ |
| Anthony Frederick Scenna | 117 Beacon Dr, Deptford, NJ 08096 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher James Douglas Tems | 307 S. Evergreen Avenue, Woodbury, NJ 08096 | Physician/surgeon | 2018-01-19 ~ 2018-08-31 |
| Meghan Siobhan Leary | 657 Steeplechase Ct, Deptford, NJ 08096 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Jc Anderson Assoc | 40 Ash Ave, Woodbury, NJ 08096 | Professional Engineer | 1992-01-22 ~ 1993-01-31 |
| Ea Moy Cnslt Elec Eng | 340 Delaware St, Woodbury, NJ 08096 | Professional Engineer | 1994-02-03 ~ 1995-01-31 |
| Scott Kennedy | 625 Sweetgum Lane, Deptford, NJ 08096 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Young | Po Box 141, Hawleyville, CT 06440 | Physician/surgeon | 1995-11-30 ~ 1996-11-30 |
| Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
| Alexander F Au | 16 Franklin's Way, Guilford, CT 06437 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Alexander M. Berry | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Glenn Leonard Alexander | 200 1st St Sw, Rochester, MN 55905-0001 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
| Laura J Alexander | 113 Valentine Pl Apt 960, Ithaca, NY 14850-6176 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Charles P Alexander Md | 107 John St, Southport, CT 06890-1466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alexander J Pinsky | 221 Soundview Ave, Stamford, CT 06902 | Physician/surgeon | 2000-01-20 ~ 2001-01-31 |
| Alexander Christian Miles | 639 Oakmont Ave, Las Vegas, NV 89109-0190 | Physician/surgeon | ~ |
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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).