MARIA M PAVLO
Physician/surgeon


Address: 380 New Haven Ave, Derby, CT 06418

MARIA M PAVLO (Credential# 540093) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 4, 1994. The license expiration date date is December 31, 1994. The license status is INACTIVE.

Business Overview

MARIA M PAVLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011703. The credential type is physician/surgeon. The effective date is January 4, 1994. The expiration date is December 31, 1994. The business address is 380 New Haven Ave, Derby, CT 06418. The current status is inactive.

Basic Information

Licensee Name MARIA M PAVLO
Credential ID 540093
Credential Number 1.011703
Credential Type Physician/Surgeon
Business Address 380 New Haven Ave
Derby
CT 06418
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1964-04-23
Effective Date 1994-01-04
Expiration Date 1994-12-31
Refresh Date 2009-07-08

Office Location

Street Address 380 NEW HAVEN AVE
City DERBY
State CT
Zip Code 06418

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jeffrey K Schpero 380 New Haven Ave, Derby, CT 06418-2138 Veterinarian 2020-05-01 ~ 2021-04-30
Ludwig J Pavlo 380 New Haven Ave, Derby, CT 06418 Physician/surgeon 2005-04-13 ~ 2006-03-31
Maria M Pavlo Md 380 New Haven Ave, Derby, CT 06418 Controlled Substance Registration for Practitioner 1994-01-07 ~ 1995-12-01

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Phillip N Burke 3 Camptown St, Derby, CT 06418 Emergency Medical Technician 2017-06-07 ~ 2020-06-30
Diane A Rosner 229 Shagbark Drive, Derby, CT 06418 Professional Counselor 2020-08-01 ~ 2021-07-31
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Competitor

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City DERBY
Zip Code 06418
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DERBY

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Ludwig J Pavlo 380 New Haven Ave, Derby, CT 06418 Physician/surgeon 2005-04-13 ~ 2006-03-31
Maria M Pavlo Md 380 New Haven Ave, Derby, CT 06418 Controlled Substance Registration for Practitioner 1994-01-07 ~ 1995-12-01
Maria C Rivera-amisola · Maria C Rivera 115 93rd 87 2nd Pl, Brooklyn, NY 11209 Physician/surgeon 2004-01-15 ~ 2004-12-31
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Maria T Sabatini 333 E. 30th St, New York, NY 10003 Physician/surgeon 2020-03-01 ~ 2021-02-28
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Dataset Information

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).

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