JUNELLA CHIN CAMACHO (Credential# 2035353) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JUNELLA CHIN CAMACHO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065857. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is June 30, 2021. The business address is 1867 Summer St, Stamford, CT 06905-5016. The current status is active.
| Licensee Name | JUNELLA CHIN CAMACHO |
| Credential ID | 2035353 |
| Credential Number | 1.065857 |
| Credential Type | Physician/Surgeon |
| Business Address |
1867 Summer St Stamford CT 06905-5016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2050789 | CSP.0074264 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-01 | 2020-06-01 - 2021-02-28 | ACTIVE |
| Street Address | 1867 SUMMER ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Leonard Kundel Dmd | 1867 Summer St, Stamford, CT 06905-5016 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Fran F Dorf | 1867 Summer St, Stamford, CT 06905-5016 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James E Sherry | 1867 Summer St Fl 3, Stamford, CT 06905-5016 | Licensed Clinical Social Worker | 2016-12-01 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| J. A Camacho-pantoja, Md | 179 W Broad St, Stamford, CT 06902-3630 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Aubrey A Camacho | 950 49th St Apt 9a, Brooklyn, NY 11219-2940 | Physician/surgeon | 1989-02-09 ~ 1990-01-31 |
| Ana P Camacho | 902 Clint Moore Rd Ste 226, Boca Raton, FL 33487-2828 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Arturo Camacho | 3919 State St, Erie, PA 16508 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Don H Chin | 6570 Sw Griffin Dr, Portland, OR 97223-7577 | Physician/surgeon | 1993-12-27 ~ 1995-01-31 |
| Emily Chin Do | 245 Edward J Roy Dr Apt 104, Manchester, NH 03104 | Physician/surgeon | 2004-03-12 ~ 2005-03-31 |
| Steven S Chin | 545 W 45th St Fl 7, New York, NY 10036-3409 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Chin-ju Li | 311 East 38th St, New York, NY 10016 | Physician/surgeon | 2005-09-06 ~ 2006-10-31 |
| Tin S Chin | 5516 Princess Circle, Wappingers, NY 12590 | Physician/surgeon | 1999-03-15 ~ 2000-03-31 |
| Arthur E Chin Md | 59 Old Asylum Road, Lakeville, CT 06039 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on JUNELLA CHIN CAMACHO.
| 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).