EMMANUEL E BAUTISTA MD (Credential# 545300) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
EMMANUEL E BAUTISTA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025021. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 12 Old Castle Hill Rd, Newtown, CT 06470. The current status is active.
| Licensee Name | EMMANUEL E BAUTISTA MD |
| Credential ID | 545300 |
| Credential Number | 1.025021 |
| Credential Type | Physician/Surgeon |
| Business Address |
12 Old Castle Hill Rd Newtown CT 06470 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-02-16 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 153142 | CSP.0012588 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 12 OLD CASTLE HILL RD |
| City | NEWTOWN |
| State | CT |
| Zip Code | 06470 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth J Tardie | 13 Lazybrook Rd, Newtown, CT 06470 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Peter Nagy | 21 Scudder Rd, Newtown, CT 06470 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Cheryl R Schwartz · Nisenbaum | 8 Old Gate Lane, Newtown, CT 06470 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Isabel Da Rocha | 143 Hanover Road, Newtown, CT 06470 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Courtney M Parker | 153 Boggs Hill Rd, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ryan S Doss | 12 Hundred Acres Rd, Newtown, CT 06470 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michael B Manes | 21 Aunt Park Ln, Newtown, CT 06470 | Architect | 2020-08-01 ~ 2021-07-31 |
| Real Food Share, Inc. · Real Food Share, Inc. Real Food Share | 11 Orchard Hill Rd, Newtown, CT 06470 | Public Charity | 2020-06-25 ~ 2021-11-30 |
| My Place Pizzeria | 8 Queen St, Newtown, CT 06470 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kiera Elizabeth Elkow | 3 Fox Run Lane, Newtown, CT 06470 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEWTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emmanuel Bautista | 710 Narragansett Ave, East Patchogue, NY 11772 | Elevator Limited Conveyor Journeyperson | 2006-09-01 ~ 2007-08-31 |
| Emmanuel N Rodriguez | 165 E. 83rd St, New York, NY 10028 | Physician/surgeon | 2009-07-02 ~ 2009-12-31 |
| Emmanuel I Okechukwu | 60 W 142nd St., New York, NY 10037 | Physician/surgeon | ~ 1996-02-29 |
| Emmanuel T Enohmbi Md | 220 Central Ave #g5, Lawrence, NY 11559 | Physician/surgeon | 2006-08-30 ~ 2007-04-30 |
| Emmanuel Konstance | 129 Vanderbilt Rd, Manhasset, NY 11030 | Physician/surgeon | 1994-12-29 ~ 1996-02-29 |
| David Emmanuel Gutierrez | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Emmanuel Albert Aydin-ghormoz | Po Box 553, Rhinecliff, NY 12574 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Emmanuel A. Trigenis | 8202 Avalon Dr, Bedford, MA 01730-2093 | Physician/surgeon | 2012-09-11 ~ 2013-08-31 |
| Emmanuel Kenta-bibi | 328 Commonwealth Ave, New Britain, CT 06053 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Emmanuel A Agaba | 624e 220st, Bronx, NY 10467 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
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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).