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.
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.
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 |
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 |
Street Address | 355 S STREET EXT |
City | COVENTRY |
State | CT |
Zip Code | 06238-3429 |
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 |
City | COVENTRY |
Zip Code | 06238 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + COVENTRY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Enrique Garcia | 1 Dickel Rd, Scarsdale, NY 10583-2117 | Physician/surgeon | 2020-04-02 ~ 2020-10-31 |
Verastegui Elderly Services LLC | 510 Burnside Ave, East Hartford, CT 06108-3504 | Homemaker Companion Agency | 2008-11-13 ~ 2009-10-31 |
Enrique C Quimper | Scipion Llona 180, Lima 18 | Physician/surgeon | 1994-11-25 ~ 1995-09-30 |
Enrique J Tello Silva Md | 60 Washington Ave Ste 304, Hamden, CT 06518-3273 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Enrique N Ponte | 112 Camino Penasco, El Paso, TX 79912 | Physician/surgeon | 1994-06-13 ~ 1995-02-28 |
Carlos Enrique Encarnacion | 206 Castlebar Rd, Rochester, NY 14610-2914 | Physician/surgeon | 1987-04-10 ~ 1990-01-03 |
Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Enrique G Aramburu | 4323 Colden Street, Flushing, NY 11355 | Physician/surgeon | ~ 1995-04-30 |
Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
Enrique A Villarreal | 2524 Edwina Court, Gulf Breeze, FL 32563 | Physician/surgeon | 2005-11-15 ~ 2006-11-30 |
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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).