DAIVYD PALENCIA-PACHECO (Credential# 1673900) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
DAIVYD PALENCIA-PACHECO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063858-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 56 Franklin Street, Waterbury, CT 06706. The current status is active.
| Licensee Name | DAIVYD PALENCIA-PACHECO |
| Credential ID | 1673900 |
| Credential Number | 1.063858-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
56 Franklin Street Waterbury CT 06706 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-07-17 |
| Street Address | 56 FRANKLIN STREET |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Druar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2025-06-30 |
| Bethel Girma Shiferaw | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Virginia Parker | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Fnu Sidra | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Abdul Haseeb | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Sanum Munir | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Vinod Kumar | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Ahmed Kazi | 56 Franklin Street, Waterbury, CT 06706 | Resident Physician | 2018-06-19 ~ 2021-06-22 |
| Karl Hellstrand | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ariel G Ong | 56 Franklin Street, Waterbury, CT 06706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiajaira Morales | 424 Baldwin St., Waterbury, CT 06706 | Medication Administration Certification | 2020-05-01 ~ 2022-04-30 |
| Timiki M White | 921 Hamilton Avenue Unit 6, Waterbury, CT 06706 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Lymarie Torres Garcia | 107 Alpine Ave., Waterbury, CT 06706 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Ann M Iannantuoni | 456 Prospect Rd, Waterbury, CT 06706 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brittany Morgan | 921 Hamilton Ave., Waterbury, CT 06706 | Medication Administration Certification | 2018-04-14 ~ 2020-04-13 |
| Chevelle Hinton | 35 Mountain Village Rd Unit 2, Waterbury, CT 06706 | Medication Administration Certification | 2020-05-19 ~ 2022-05-18 |
| Juan A Bano | 685 Summer St, Waterbury, CT 06706 | Asbestos Abatement Worker | ~ |
| Esther Campos Dasilva | 31 Benjamin St, Waterbury, CT 06706 | Emergency Medical Responder | ~ |
| Rebecca L Diblasi | 295 Edgewood Avenue, Waterbury, CT 06706 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Rnz Services LLC | 76 Lounsbury Ave Apt 2, Waterbury, CT 06706 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06706 | |||
| City | WATERBURY |
| Zip Code | 06706 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Enrique Pacheco | 64 Robbins Street, Room 3304, Waterbury, CT 06708 | Resident Physician | 2015-06-15 ~ 2018-06-30 |
| Palencia Painting LLC | 5 1/2 Lenox Ave #b, Norwalk, CT 06854-1023 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Romeo J Palencia Md | 357 Brittany Farms Road, New Britain, CT 06053 | Physician/surgeon | 1998-05-14 ~ 1999-06-30 |
| Derek Pacheco · Pacheco Masonry & Chimney Restoration | 162 Grant Hill Rd, Coventry, CT 06238 | Home Improvement Contractor | 2008-05-27 ~ 2008-11-30 |
| Frank J Pacheco Jr · Calvary Development | 185 Mountaindale Rd, Smithfield, RI 02917 | New Home Construction Contractor | 2007-10-01 ~ 2009-09-30 |
| Pacheco Builders LLC | 137 Wardwell St, Stamford, CT 06902-6018 | Home Improvement Contractor | 2010-04-30 ~ 2010-11-30 |
| Felix F Pacheco | 71 Wessington Avenue, Garfield, NJ 07026 | Physician/surgeon | 2003-05-29 ~ 2004-05-31 |
| Rafael Pacheco Md | 79 Hunters Crossing, Burlington, CT 06013 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Jose R Pacheco Md | 6365 Collins Ave, Miami Beach, FL 33141-9419 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).