MARY ANN A DEMETRIUS MD (Credential# 543201) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARY ANN A DEMETRIUS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019989. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 370 W 118th St Apt 3a, New York, NY 10026-1016. The current status is active.
| Licensee Name | MARY ANN A DEMETRIUS MD |
| Credential ID | 543201 |
| Credential Number | 1.019989 |
| Credential Type | Physician/Surgeon |
| Business Address |
370 W 118th St Apt 3a New York NY 10026-1016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1978-01-09 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154709 | CSP.0014208 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 370 W 118TH ST APT 3A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-1016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Lattimore | 86 West 119th Street, Apt 3-d, New York, NY 10026 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| David Mabbott | 312 West 119 St. #4j, New York, NY 10026 | Architect | 2018-08-01 ~ 2019-07-31 |
| Dorothy L Blackmun | 111 West 117th St., New York, NY 10026 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adewale O Olayode | 304 West 117th Street, New York, NY 10026 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yasmin Dhar | 23 West 116th Street, New York, NY 10026 | Physician/surgeon | ~ |
| Bradley E Martin | 444 Manhattan Ave, New York, NY 10026 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Marjorie A Beutel | 329 West 112th Street, New York, NY 10026 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Maria Losyeva | 136 West 111th Street Apt 3fe, New York, NY 10026 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Denisha Johnson | 283 West 118 Street Apt 3b, New York, NY 10026 | Master's Level Social Worker | 2018-05-01 ~ 2019-04-30 |
| Derek D Pozzessere | 225 Central Park North, New York City, NY 10026 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Find all Licenses in zip 10026 | |||
| City | NEW YORK |
| Zip Code | 10026 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Demetrius P Rizos | 9 Lakeview Ave, Danvers, MA 01923-1260 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Demetrius Bravidis | 7 Winding Brook Dr, Reading, PA 19608 | Physician/surgeon | 2010-03-09 ~ 2010-08-31 |
| Michael Demetrius Karagas | 5595 Saratoga Blvd, Corpus Christi, TX 78414 | Physician/surgeon | 2018-04-11 ~ 2018-10-31 |
| Demetrius & Co., LLC | Wayne Plaza II, Wayne, NJ 07470 | Certified Public Accountant Firm Permit | 2012-01-05 ~ 2012-12-31 |
| Demetrius Pettway · Demetrius Pettway Construction | 20 Fairway Ln, Trumbull, CT 06611-3210 | Home Improvement Contractor | 2019-12-30 ~ 2020-11-30 |
| Demetrius Berkower LLC | 155 Route 46 West, Wayne Plaza II, Wayne, NJ 07470 | Certified Public Accountant Firm Permit | 2016-01-01 ~ 2016-08-01 |
| Sherley Demetrius | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2020-06-21 ~ 2021-06-30 |
| Mary S D Ghaly | Po Box 483, Niantic, CT 06357 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Mary C. Banda | 72 Lawrence Dr, Longmeadow, MA 01106-1618 | Physician/surgeon | ~ |
| Mary Aldrene L Tan | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).