BERNARDO MENDOZA MD (Credential# 513595) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
BERNARDO MENDOZA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044552. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 63 Elizabeth Ln, Vernon, CT 06066-5059. The current status is inactive.
| Licensee Name | BERNARDO MENDOZA MD |
| Credential ID | 513595 |
| Credential Number | CSP.0044552 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
63 Elizabeth Ln Vernon CT 06066-5059 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2008-09-12 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564506 | 1.046924 | Physician/Surgeon | 2008-08-19 | 2013-05-01 - 2014-04-30 | INACTIVE |
| Street Address | 63 ELIZABETH LN |
| City | VERNON |
| State | CT |
| Zip Code | 06066-5059 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maureen L Pace | 31 Elizabeth Ln, Vernon Rockville, CT 06066-5059 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Brianna M Blake | 39 Elizabeth Ln, Vernon Rockville, CT 06066-5059 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| Stacey Labarre | 21 Elizabeth Ln, Vernon Rockville, CT 06066-5059 | Hearing Instrument Specialist | 2019-08-01 ~ 2021-07-31 |
| Jo Ann T Petrin · Surwill | 43 Elizabeth Ln, Vernon, CT 06066-5059 | Registered Nurse - Temporary | 2018-08-01 ~ 2018-11-28 |
| Danielle P Desmond | 25 Elizabeth Ln, Vernon, CT 06066-5059 | Real Estate Salesperson | 2009-09-25 ~ 2010-05-31 |
| Joseph M Wilkinson | 25 Elizabeth Ln, Vernon, CT 06066-5059 | Plumbing & Piping Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cynthia Stelma | 35 White St, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Diana C Mendieta | 127 Lake St, Vernon, CT 06066 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Taylor Rose Mulcahy | 95 Hockanum Blvd Unit #5223, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eric Scott · E Scott Const | 27 Lawrence St, Vernon Rockville, CT 06066 | Home Improvement Contractor | 2020-06-20 ~ 2020-11-30 |
| Margaret A Lucerini | 27 Rosewood Dr, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alexander John Bozzi | 28 Deepwood Dr, Vernon, CT 06066 | Home Inspector Intern | 2020-05-30 ~ 2021-06-30 |
| Kathleen N Laplaca | 244 Risley Road, Vernon, CT 06066 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Shawnda Shelton | 215 East Main St. #25, Vernon, CT 06066 | Medication Administration Certification | 2020-06-05 ~ 2022-06-04 |
| Ireland Oil Co Inc | 171 Union St, Vernon, CT 06066 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Annmarie Margaret Fultz | 1a Prospect St, Vernon Rockville, CT 06066 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06066 | |||
| City | VERNON |
| Zip Code | 06066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VERNON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raffaele M Bernardo | 15 York St, New Haven, CT 06510-3221 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Filjah S Bernardo | 633 Williams Rd, Wallingford, CT 06492-2635 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edsell C Bernardo Md | 2 Tailwinds Ln, Westerly, RI 02891-2068 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bernardo M C Rodrigues | 78 Ellsworth Lane, Canton, CT 06019 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bernardo Medina Md | 1185 Main St, Willimantic, CT 06226-2093 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dawn P Bernardo Aprn | 5 Windham Dr, Simsbury, CT 06070 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Horacio J Bernardo Aprn | 5 Windham Dr, Simsbury, CT 06070-1227 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bernardo Selim | 3061 Avalon Cove Ct Nw, Rochester, MN 55901 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Jennifer L Gustafson Dvm | 17728 Alacran Court, Rancho Bernardo, CA 92127 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Juan Mendoza | 81 Malibu Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Please comment or provide details below to improve the information on BERNARDO MENDOZA MD.
| 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).