JULIANE YAEL CRUZ (Credential# 1662897) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 28, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JULIANE YAEL CRUZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0071247. The credential type is controlled substance registration for practitioner. The effective date is May 28, 2019. The expiration date is February 28, 2021. The business address is 12606 Burbank Blvd Apt 5, Valley Village, CA 91607-4756. The current status is active.
| Licensee Name | JULIANE YAEL CRUZ |
| Credential ID | 1662897 |
| Credential Number | CSP.0071247 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12606 Burbank Blvd Apt 5 Valley Village CA 91607-4756 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-28 |
| Effective Date | 2019-05-28 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-05-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1645641 | 1.063964 | Physician/Surgeon | 2019-07-15 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1657973 | 1.063337-RES | Resident Physician | 2019-08-01 | 2019-08-01 - 2020-07-30 | ACTIVE |
| Street Address | 12606 BURBANK BLVD APT 5 |
| City | VALLEY VILLAGE |
| State | CA |
| Zip Code | 91607-4756 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle Daurio | 5454 Gentry Ave., Valley Village, CA 91607 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| John Snyder & Assoc | 12517 Chandler Bl, N Hollywood, CA 91607 | Professional Engineer | 1991-02-08 ~ 1992-01-31 |
| Joseph V Esposito | 5311 Corteen Place, Valley Village, CA 91607 | Massage Therapist | 2004-03-09 ~ 2006-04-30 |
| Lenore Houston | 12303 Califa St, Valley Village, CA 91607-1106 | Registered Nurse | 2012-01-01 ~ 2012-12-31 |
| Staci Ann Difazio | 12005 Albers St Apt 129, Valley Village, CA 91607-2154 | Registered Nurse | 2017-08-01 ~ 2018-07-31 |
| Edward G Barton | 5221 Bellaire Ave, Valley Village, CA 91607-2311 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| International Myeloma Foundation | 12650 Riverside Dr Ste 206, North Hollywood, CA 91607-3466 | Public Charity | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeannine A Palombizio | 12450 Magnolia Blvd Unit 4062, Valley Village, CA 91617-7004 | Hairdresser/cosmetician | 2018-08-01 ~ 2020-07-31 |
| City | VALLEY VILLAGE |
| Zip Code | 91607 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALLEY VILLAGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daphna Yael Gelblum | 500 Westchester Ave, West Harrison, NY 10604-3200 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cruz Sundquist Md | 190 Edgehill Rd, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 1994-02-08 ~ 1996-02-01 |
| Lorinda A Cruz | 2 Park Pl Apt 9d, Hartford, CT 06106-5011 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lissette I Cruz | 259 Light St, Stratford, CT 06614-5233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Florencia S Cruz Md | 182 Hebberd Ave, Paramus, NJ 07652-4452 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Roma Cruz | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Christopher M Cruz | 142 Bagley Rd, Southbury, CT 06488-2467 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rachael A Cruz | 11 Melissa Way, Tolland, CT 06084 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carlos M. Cruz Chu | 52 Hawley Ave Apt 7, Milford, CT 06460-8100 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Aristides I Cruz Jr | 2045 Locust St Apt 3f, Philadelphia, PA 19103 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).