VINCENZO PHILLIP JULIAN (Credential# 2047880) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 26, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VINCENZO PHILLIP JULIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0074116. The credential type is controlled substance registration for practitioner. The effective date is May 26, 2020. The expiration date is February 28, 2021. The business address is 43643 Lakeview Blvd, Sterling Heights, MI 48313-2007. The current status is active.
Licensee Name | VINCENZO PHILLIP JULIAN |
Credential ID | 2047880 |
Credential Number | CSP.0074116 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
43643 Lakeview Blvd Sterling Heights MI 48313-2007 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-05-26 |
Effective Date | 2020-05-26 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-05-27 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2042272 | 23.004816 | Physician Assistant | 2020-05-24 | 2020-05-24 - 2020-09-30 | ACTIVE |
Street Address | 43643 LAKEVIEW BLVD |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48313-2007 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander Krzeminski | 44199 Meadowlake Dr, Sterling Heights, MI 48313-1136 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Brad S Lukas | 8851 Alwardt Dr, Sterling Heights, MI 48313-4809 | Registered Nurse | 2014-10-22 ~ 2015-10-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Sarah Keilman | 12957 Brierstone Dr, Sterling Heights, MI 48312 | Genetic Counselor | 2020-09-01 ~ 2021-08-31 |
Woods Construction Inc | 6396 Product Dr, Sterling Heights, MI 48312-4568 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Robert J Bartoy | 41153 Marjoran Dr, Sterling Heights, MI 48314-3930 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
Steve S Camisi | 40588 Riverbend Dr, Sterling Heights, MI 48310 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Melissa Dailey | 13265 Highland Circle, Sterling Heights, MI 48312 | Registered Nurse | 2019-01-14 ~ 2019-10-31 |
Mohamad Hamdi | 40211 Steel Dr, Sterling Heights, MI 48310-1950 | Physician/surgeon | ~ |
Si Yin Geraldine Tan | 5565 17 Mile Road, Sterling Heights, MI 48310 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Carol Ellen Lebioda | 2972 Belcher Drive, Sterling Heights, MI 48310 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
Lake City Pharmacy LLC | 33389 Van Dyke Ave, Sterling Heights, MI 48312-5926 | Nonresident Pharmacy | 2018-09-01 ~ 2019-08-31 |
Selina S. Patel Vail | 4653 Franklin Park Dr, Sterling Heights, MI 48310-1941 | Controlled Substance Registration for Practitioner | 2017-01-05 ~ 2019-02-28 |
Find all Licenses in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48313 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STERLING HEIGHTS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Phillip Brewer Md | 275 Mount Carmel Ave, Hamden, CT 06518-1905 | Controlled Substance Registration for Practitioner | 2013-04-19 ~ 2015-02-28 |
Vincenzo Romano | 14763 7th Ave, Whitestone, NY 11357-1620 | Controlled Substance Registration for Practitioner | 2019-03-20 ~ 2021-02-28 |
Jonathan Mallen | 1365 Vincenzo Dr, Toms River, NJ 08753-2772 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Julian Bader Md | 15 Jesswig Dr, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Julian D Lopez Md | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Julian L Munoz | 102 Maple Dr, Coventry, CT 06238-2832 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Danielle C Trudeau Dds | 4 Julian Ter, Norwich, CT 06360-2706 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Julian Naylor Md | 195 Chesham Dr, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 1994-04-07 ~ 1995-10-01 |
Julian Nieves IIi | 169 Natchaug Dr, Meriden, CT 06450-7418 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Leonel Julian Lopez | 39 Church St Ste 4d, New Haven, CT 06510-3338 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).