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.
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.
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 |
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 |
Street Address | 1227 N 3RD ST |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-3835 |
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 |
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 |
City | SPRINGFIELD |
Zip Code | 62702 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edilberto Martinez Md | Yale Univ School of Medicine Ob/gyn, New Haven, CT 06520-8063 | Physician/surgeon | 2001-12-13 ~ 2003-01-31 |
Don Steven Dizon | Women and Infants Hospital, Providence, RI 02905 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
Kirk S Dizon | 18561 Florida Street, #2049, Huntington Beach, CA 92648 | Physician/surgeon | 2009-10-08 ~ 2010-10-31 |
Tabor D Dizon | 127 Loehr Rd, Tolland, CT 06084-3236 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Esther F Atienza | 260 Engle St Apt 4a, Englewood, NJ 07631-2423 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Edilberto Esquivel Carrillo | 50 E 191st St Apt 6c, Bronx, NY 10468-4591 | Sub-surface Sewage Cleaner | 2020-01-16 ~ 2021-01-31 |
Edilberto Sanchez | 37-19 102nd Street, Corona, NY 11368 | Asbestos Abatement Worker | 2000-07-06 ~ 2001-02-28 |
Edilberto Fontanez · Eddies Market | 58 Sylvan Ave, New Haven, CT 06519-1025 | Grocery Beer | 2019-12-01 ~ 2020-11-30 |
Violeta A Atienza | 4 North Lane, Wallingford, CT 06492 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Anna Renee Atienza Eufemio | 61 Diamond St, Elmont, NY 11003-4217 | Physical Therapist | ~ |
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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).