JAIME ENRIQUE VERASTEGUI
Physician/surgeon


Address: 355 S Street Ext, Coventry, CT 06238-3429

JAIME ENRIQUE VERASTEGUI (Credential# 1675229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

JAIME ENRIQUE VERASTEGUI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064209. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 355 S Street Ext, Coventry, CT 06238-3429. The current status is active.

Basic Information

Licensee Name JAIME ENRIQUE VERASTEGUI
Credential ID 1675229
Credential Number 1.064209
Credential Type Physician/Surgeon
Business Address 355 S Street Ext
Coventry
CT 06238-3429
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-09-09
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1692280 CSP.0072441 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-09-18 2019-09-18 - 2021-02-28 ACTIVE

Office Location

Street Address 355 S STREET EXT
City COVENTRY
State CT
Zip Code 06238-3429

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Parul S Shah · Bidwell Spirit Shoppe 1220 Main St, Coventry, CT 06238 Package Store Liquor 2020-08-02 ~ 2021-08-01
Mary A Manton 28 Armstrong Rd Unit B-9, Coventry, CT 06238 Physician/surgeon 2020-09-01 ~ 2021-08-31
Barbara J Dillon 93 Alice Drive, Coventry, CT 06238 Public Weigher 2020-07-01 ~ 2021-06-30
Cody Adam Kirschbaum 83 Daly Rd, Coventry, CT 06238 Emergency Medical Technician ~
Stephanie A Simmons 878 Silver St, Coventry, CT 06238 Licensed Practical Nurse 2020-02-01 ~ 2021-01-31
Mellissa U Carroll 349 Ripley Hill Rd, Coventry, CT 06238 Registered Nurse 2020-07-01 ~ 2021-06-30
Kristin D'alfonso 43 Windy Hill Road, Coventry, CT 06238 Physician Assistant 2020-07-01 ~ 2021-06-30
Dawn Trudeau 46 Flanders River Road, Coventry, CT 06238 Medication Administration Certification 2020-06-28 ~ 2022-06-27
Bryan Trudel 3505 South St., Coventry, CT 06238 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Christopher Dean 545 Flanders Rd., Coventry, CT 06238 Backflow Prevention Device Tester 2020-05-27 ~ 2023-03-31
Find all Licenses in zip 06238

Competitor

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City COVENTRY
Zip Code 06238
License Type Physician/Surgeon
License Type + County Physician/Surgeon + COVENTRY

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Dataset Information

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).

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