CYNTHIA O HARRIS (Credential# 545047) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 12, 1996. The license expiration date date is June 30, 1997. The license status is INACTIVE.
CYNTHIA O HARRIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024559. The credential type is physician/surgeon. The effective date is April 12, 1996. The expiration date is June 30, 1997. The business address is 1113 Salamanca Nw, Albuquerque, NM 87107. The current status is inactive.
Licensee Name | CYNTHIA O HARRIS |
Credential ID | 545047 |
Credential Number | 1.024559 |
Credential Type | Physician/Surgeon |
Business Address |
1113 Salamanca Nw Albuquerque NM 87107 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1983-04-20 |
Effective Date | 1996-04-12 |
Expiration Date | 1997-06-30 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
143928 | CSP.0011893 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-09-08 - 1995-10-01 | INACTIVE |
Street Address | 1113 SALAMANCA NW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87107 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jennifer D Bishop | 6401 Avenida La Cuchilla Nw, Los Ranchos, NM 87107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Donald C Bartlett | 124 Velarde Nw, Albuquerque, NM 87107 | Architect | 2012-08-01 ~ 2013-07-31 |
Debra L Cary · Murray | 859 Delamar Nw, Albuquerque, NM 87107 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
Robert S Rosnagle | 1116 Salamanca Nw, Albuquerque, NM 87107 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
Lynn A Hertel | 2561 Elfego Rd Nw, Albuquerque, NM 87107 | Registered Nurse | 2004-08-20 ~ 2005-08-31 |
Judith A Mortellaro | 605 Fitzgerald Nw, Albuquerque, NM 87107 | Registered Nurse | 2003-07-22 ~ 2004-07-31 |
Elizabeth A Mullaney · Burke | 520 Los Ranchos Rd, Albuquerque, NM 87107 | Registered Nurse | 2006-05-18 ~ 2007-06-30 |
Melinda D Bower | 7437 Rio Grande Nw, Albuquerque, NM 87107 | Occupational Therapist | 1995-08-04 ~ 1997-07-31 |
Kristine M Roy | 3827 San Isidro St. Nw, Albuquerque, NM 87107 | Physical Therapist | 2003-12-08 ~ 2004-12-31 |
Esi Mail Pharmacy Service Inc. · Express Scripts | D/b/a Express Scripts, Albuquerque, NM 87107 | Nonresident Pharmacy | 2005-09-01 ~ 2006-08-31 |
Find all Licenses in zip 87107 |
City | ALBUQUERQUE |
Zip Code | 87107 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ALBUQUERQUE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Cory Harris | Po Box 332, Bloomfield, CT 06002-0332 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
Roger M Harris | P.o. Box 714, Hartsdale, NY 10530 | Physician/surgeon | 1987-05-01 ~ 1990-03-31 |
Stephen N Harris | 84 Heather Dr, New Canaan, CT 06840-5224 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Herbert W Harris | 361 Willow St, New Haven, CT 06511 | Physician/surgeon | 1993-10-25 ~ 1994-09-30 |
Darren L Harris | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | Physician/surgeon | ~ |
Darcy A Harris | 41 Sconset Dr, Fairfield, CT 06824-3853 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Lynda M Smith-harris | 56 Clifton Pl, Brooklyn, NY 11238-1302 | Physician/surgeon | ~ |
Walter D Harris | 438 Main St, Old Saybrook, CT 06475 | Physician/surgeon | 2003-06-19 ~ 2004-06-30 |
Mark P Harris | P.o. Box 6717, Vacaville, CA 95696 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).