EMMANUEL JAVIER MD (Credential# 219587) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
EMMANUEL JAVIER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028586. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 42 Woodside Way, Bristol, CT 06010. The current status is inactive.
| Licensee Name | EMMANUEL JAVIER MD |
| Credential ID | 219587 |
| Credential Number | CSP.0028586 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
42 Woodside Way Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Effective Date | 2015-03-01 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2016-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 547450 | 1.028901 | Physician/Surgeon | 1988-03-18 | 2015-02-01 - 2016-01-31 | INACTIVE |
| Street Address | 42 WOODSIDE WAY |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emmanuel A Ofori | 22 E 96th St Apt 4c, Brooklyn, NY 11212-3780 | Controlled Substance Registration for Practitioner | 2015-06-12 ~ 2017-02-28 |
| Alph Emmanuel | 248 Main St, Unionville, CT 06085-1148 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel K Amoah Dds | 11-3 Kent Ct, Ashford, CT 06278-1529 | Controlled Substance Registration for Practitioner | 2009-03-07 ~ 2011-02-28 |
| Javier Salabarria Md | Po Box 163, Winsloe, PE C1E 1Z2 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel L Kuyinu | 9211 Havencrest Dr, Houston, TX 77083-5817 | Controlled Substance Registration for Practitioner | 2017-05-23 ~ 2019-02-28 |
| Emmanuel Logiadis Md | 999 Silver Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Emmanuel U Ekeke | 1356 E 104th St, Brooklyn, NY 11236-4508 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Javier J Davila Md | 1 Audubon St Ste 201, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier B Cairo Md | 84 Howe St #10, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Javier B C Lavaudo Md | 37 Frahus St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2006-12-14 ~ 2007-02-28 |
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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).