CHARISSE COLVIN (Credential# 2002698) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CHARISSE COLVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065088. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is April 30, 2021. The business address is 40 Lower Rocky Point Rd, Miller Place, NY 11764-1630. The current status is active.
Licensee Name | CHARISSE COLVIN |
Credential ID | 2002698 |
Credential Number | 1.065088 |
Credential Type | Physician/Surgeon |
Business Address |
40 Lower Rocky Point Rd Miller Place NY 11764-1630 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-04-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-01 |
Street Address | 40 LOWER ROCKY POINT RD |
City | MILLER PLACE |
State | NY |
Zip Code | 11764-1630 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald A Sioss | 11 Miller Woods Dr, Miller Place, NY 11764 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Frank P Lombardo | 9 Rolling Road, Miller Place, NY 11764 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Cecile P Stopkoski | 2 North Harbor Down, Miller Place, NY 11764 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
James J Tinney | Heather Lane, Miller Place, NY 11764 | Certified Public Accountant License | 1996-01-01 ~ 1996-12-31 |
Raymond Danowski | 70 Henearly Drive, Miller Place, NY 11764 | Plumbing & Piping Unlimited Journeyperson | ~ |
Carolyn J Leonard | 17 Honey Lane, Miller Place, NY 11764 | Emergency Medical Technician | 2008-10-08 ~ 2010-07-01 |
Keith J Goss | 22 Honey Lane, Miller Place, NY 11764 | Lead Abatement Supervisor | ~ 1997-12-31 |
Betty L Valek | 351 Oakland Ave, Miller Place, NJ 11764 | Licensed Practical Nurse | 1999-03-19 ~ 2000-01-31 |
Carol Denise Davis | 46 Sylvan Avenue, Miller Place, NY 11764 | Physician/surgeon | 2008-03-24 ~ 2009-02-28 |
Richard Terry | 29 Oakwood Avenue, Miller Place, NY 11764 | Asbestos Abatement Supervisor | 2002-09-11 ~ 2003-08-31 |
Find all Licenses in zip 11764 |
City | MILLER PLACE |
Zip Code | 11764 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MILLER PLACE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Charisse D Litchman | Po Box 3224, Stamford, CT 06905 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Charisse L Mandimika | 21 Elmwood Rd, Apt 1, New Haven, CT 06515 | Physician/surgeon | 2018-09-13 ~ 2019-06-30 |
Charisse I Lachica | 2370 North Avenue, Bridgeport, CT 06604 | Physician/surgeon | ~ 1997-03-31 |
Gerald A Colvin | 138 Grotto Ave, Providence, RI 02906-5721 | Physician/surgeon | 2020-03-11 ~ 2020-12-31 |
Joshua Colvin | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | Physician/surgeon | 2020-02-29 ~ 2021-02-28 |
Scott R. Colvin, Cpa | 14 Serene Drive, Huntington, CT 06484-5201 | Certified Public Accountant Firm Permit | 2001-01-01 ~ 2001-12-31 |
Scott R Colvin Cpa LLC | 14 Serene Drive, Huntington, CT 06484-5201 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
Charisse L Mandimika | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2017-08-02 ~ 2019-06-30 |
Maria A Herod | 328 Colvin Ave., Buffalo, NY 14216 | Naturopathic Physician | 2002-12-02 ~ 2003-12-31 |
Charisse A Corsano | Po Box 46, North Salem, NY 10560-0046 | Massage Therapist | 2018-12-01 ~ 2020-11-30 |
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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).