ANTHONY FERNANDEZ DO (Credential# 309563) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2005. The license expiration date date is February 28, 2006. The license status is INACTIVE.
ANTHONY FERNANDEZ DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032102. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2005. The expiration date is February 28, 2006. The business address is 2064 Byron Rd, Merrick, NY 11566. The current status is inactive.
| Licensee Name | ANTHONY FERNANDEZ DO |
| Credential ID | 309563 |
| Credential Number | CSP.0032102 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2064 Byron Rd Merrick NY 11566 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-01 |
| Effective Date | 2005-03-01 |
| Expiration Date | 2006-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 557763 | 1.040180-DO | Physician/Surgeon | 2002-02-25 | 2004-10-04 - 2005-09-30 | INACTIVE |
| Street Address | 2064 BYRON RD |
| City | MERRICK |
| State | NY |
| Zip Code | 11566 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Marla Sue Sheflin | 2867 Beach Drive, Merrick, NY 11566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leobiury Garcia | 1934 Edward Lane, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Bruce J Diamond | 1810 Relyea Drive, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-08 ~ 2022-02-28 |
| Brian M Rohan | 158 Loines Ave, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Imtiaz Mulla | 90 Frankel Blvd, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mitzi Nadeige Dort | 1828 Remson Avenue, Merrick, NY 11566 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brian T O'donnell | 1785 Carlisle Pl, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alberto Lopez | 1643 Demott Court, North Merrick, NY 11566 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gina Marie Bayne | 2124 Burke Place, Merrick, NY 11566 | Notary Public Appointment | 2009-09-25 ~ 2014-09-30 |
| Find all Licenses in zip 11566 | |||
| City | MERRICK |
| Zip Code | 11566 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERRICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yvette M Fernandez | 836 N Salem Rd, Ridgefield, CT 06877-1723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David Fernandez Pa | 86 Florence Rd, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James Fernandez Dds | 7 West Elm #a4, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1998-03-30 ~ 1999-02-28 |
| Thomas V Fernandez Md | 350 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maximo J Fernandez | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Jorge M Fernandez-baujin | 686 E Main St, Torrington, CT 06790-3978 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Janice L Fernandez | 3626 Ruffin Rd, San Diego, CA 92123-1810 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Joanna R Fernandez Aprn | 366 Harmony St, Bridgeport, CT 06606-3831 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ana M Fernandez Dds | 85 Aspen Drive, South Glastonbury, CT 06073 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANTHONY FERNANDEZ DO.
| 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).