ALICIA T CARMONA MD (Credential# 541314) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ALICIA T CARMONA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015001. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 801 Farmington Ave, West Hartford, CT 06119. The current status is active.
| Licensee Name | ALICIA T CARMONA MD |
| Credential ID | 541314 |
| Credential Number | 1.015001 |
| Credential Type | Physician/Surgeon |
| Business Address |
801 Farmington Ave West Hartford CT 06119 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1971-06-07 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149996 | CSP.0007879 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 801 FARMINGTON AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce H Levy Md | 801 Farmington Ave, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Richard H Maloney Md | 801 Farmington Ave, West Hartford, CT 06119-1683 | Physician/surgeon | 2001-06-14 ~ 2002-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alicia Kim Sanchez | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ivan Carmona · Carmona Painting | 98th Ave Apt 3, Danbury, CT 06810 | Home Improvement Contractor | 2008-04-22 ~ 2008-11-30 |
| Alicia A Mckelvey | 85 Seymour St Ste 227, Hartford, CT 06106-5523 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alicia A Salas | 10 Edelweiss Ln, Darien, CT 06820-3109 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alicia J. Rieger | 8 Azalea Ct, Scarsdale, NY 10583-3204 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alicia A Briggs | 79 Hemmelskamp Rd., Wilton, CT 06897 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alicia E Schrader | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Alicia P. Antman | 9 Washington Ave, Hamden, CT 06518 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Alicia M Cartagena | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
| Alicia Wang Md | 282 Washington Street, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).