EDILBERTO DIZON ATIENZA
Physician/surgeon


Address: 1227 N 3rd St, Springfield, IL 62702-3835

EDILBERTO DIZON ATIENZA (Credential# 1996229) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

EDILBERTO DIZON ATIENZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064779. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 1227 N 3rd St, Springfield, IL 62702-3835. The current status is active.

Basic Information

Licensee Name EDILBERTO DIZON ATIENZA
Credential ID 1996229
Credential Number 1.064779
Credential Type Physician/Surgeon
Business Address 1227 N 3rd St
Springfield
IL 62702-3835
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-01-30
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-10

Other licenses

ID Credential Code Credential Type Issue Term Status
2004451 CSP.0073097 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-01-31 2020-01-31 - 2021-02-28 ACTIVE

Office Location

Street Address 1227 N 3RD ST
City SPRINGFIELD
State IL
Zip Code 62702-3835

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Illinois Retired Teachers Association Foundation Inc. 620 North Walnut Street, Springfield, IL 62702 Public Charity 2005-10-01 ~ 2006-05-31
Brandy S Killion 427 W Calhoun, Springfield, IL 62702 Registered Nurse 2001-02-01 ~ 2002-02-28
Denise A Logan Po Box 1372, Springfield, IL 62702 Registered Nurse 2001-05-07 ~ 2002-04-30
Robert D Ashby 84 Mesa Rd, Springfield, IL 62702-1576 Elevator Trainee 2015-10-26 ~ 2016-08-31
Elizabeth Jean Rickard 3501 E Ridgely Rd Lot 26, Springfield, IL 62702-2163 Registered Nurse 2020-03-01 ~ 2021-02-28
Sarah L Mcveigh 1640 W Washington St, Springfield, IL 62702-4758 Registered Nurse - Temporary 2009-09-11 ~ 2010-01-09

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Springfield Rescue Mission 10 Mill St, Springfield, MA 01108-1021 Public Charity 2019-06-01 ~ 2020-05-31
The Miracle Marc Foundation Inc. 329 Bay St, Springfield, MA 01109-3520 Public Charity 2019-06-04 ~ 2020-05-31
New England Farm Workers Council Inc. 11 Hampden St, Springfield, MA 01103-1270 Public Charity 2019-06-01 ~ 2020-05-31
National Museum of Americans In Wartime 7006 Elkton Dr, Springfield, VA 22152-3330 Public Charity 2019-06-01 ~ 2020-05-31
Thi Nguyen 61 Coral Rd, Springfield, MA 01118 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Huy Nguyen 519 Gifford St, Springfield, MA 01118 Nail Technician ~
Sang Lam 11 Herman Streets, Springfield, MA 01108 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Alessandra Millan 301 Dwight Rd, Springfield, MA 01108-3462 Registered Nurse 2020-06-01 ~ 2021-05-31
Latoya Thornton 35 Humbert St, Springfield, MA 01109-2229 Real Estate Salesperson 2020-06-26 ~ 2021-05-31
Bienvenido Perez Jr 352 Albany St, Springfield, MA 01105-1017 Asbestos Abatement Supervisor 2020-09-01 ~ 2021-08-31
Find all Licenses in SPRINGFIELD

Competitor

Search similar business entities

City SPRINGFIELD
Zip Code 62702
License Type Physician/Surgeon
License Type + County Physician/Surgeon + SPRINGFIELD

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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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