EMILY ANNA BURK (Credential# 1603610) 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.
EMILY ANNA BURK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062132-DO. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1049 50th Ave N, Saint Petersburg, FL 33703-2723. The current status is active.
| Licensee Name | EMILY ANNA BURK |
| Credential ID | 1603610 |
| Credential Number | 1.062132-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
1049 50th Ave N Saint Petersburg FL 33703-2723 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-11-30 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1617840 | CSP.0069930 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-30 | 2018-11-30 - 2021-02-28 | ACTIVE |
| Street Address | 1049 50TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33703-2723 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joan E Grayson | 4895 Bay St Ne, St Petersburg, FL 33703 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Lorraine F Danes | 5933 12th Way North, St Petersburg, FL 33703 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Katie Rose Keegan | 2121 Bayou Grande Blvd Ne, St Petersburg, FL 33703 | Registered Nurse | 2018-09-28 ~ 2019-02-28 |
| Elizabeth Ann Mcguire | 5175 6th Street N, St. Petersburg, FL 33703 | Physical Therapist Assistant | 2016-08-08 ~ 2016-12-31 |
| Eleanor P Jacobs | 1994 Kansas Ave Ne, St Petersburg, FL 33703 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Marianne Evanouskas | 1168 Red Maple Cir N, Saint Petersburg, FL 33703 | Hairdresser/cosmetician | 2008-01-07 ~ 2010-01-31 |
| Gabriel J Smiles Jr | 4890 Bay St Ne, St Petersburg, FL 33703 | Electrical Unlimited Journeyperson | 2007-10-29 ~ 2008-09-30 |
| Barbara L Russillo | 370 53rd Ave No, St Petersburg, FL 33703 | Hairdresser/cosmetician | 2006-01-23 ~ 2008-02-29 |
| Joan M Workman | 495 44 Ave North, St Petersburg, FL 33703 | Registered Nurse | 1994-03-14 ~ 1995-03-31 |
| Edward P Dutkiewicz | 5611 Bayou Grand, St Petersburg, FL 33703 | Sub-surface Sewage Installer | 1996-04-01 ~ 1997-05-31 |
| Find all Licenses in zip 33703 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33703 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT PETERSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristine Specht Burk | 12347 Main Campus Drive, Lexington, MA 02421 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Peter M Burk · Burk Masonry | 6 Packard Ridge, Stafford Springs, CT 06076 | Home Improvement Contractor | 2006-09-07 ~ 2007-11-30 |
| Damiano & Burk, Cpa's, P.C. | 6 Blackstone Valley Place, Lincoln, RI 02865-1105 | Certified Public Accountant Firm Permit | 2011-01-01 ~ 2011-12-31 |
| Anna K Henisz | P.o.box 414, Washington, CT 06794-0414 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna Rae B Ong | 506 Whitney Ave Apt 3, New Haven, CT 06511-2367 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Emily A Nolfo Md | 5 Durham Rd., Guilford, CT 06437 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Emily L Slate | 176 E 77th St Apt 15b, New York, NY 10075-1952 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Emily Chin Do | 245 Edward J Roy Dr Apt 104, Manchester, NH 03104 | Physician/surgeon | 2004-03-12 ~ 2005-03-31 |
| Emily S Patonay | 78 Olive St Apt 222, New Haven, CT 06511-6984 | Physician/surgeon | 2015-01-01 ~ 2015-12-31 |
| Emily R. Concepcion | 137 Barlow Dr S, Brooklyn, NY 11234-6721 | Physician/surgeon | 2010-05-24 ~ 2010-12-31 |
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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).