EDWARD A MACHERNIS
Physician/surgeon


Address: 11 Chesterfield Drive, Warren, NJ 07059

EDWARD A MACHERNIS (Credential# 545465) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2009. The license expiration date date is September 30, 2010. The license status is INACTIVE.

Business Overview

EDWARD A MACHERNIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025459. The credential type is physician/surgeon. The effective date is October 1, 2009. The expiration date is September 30, 2010. The business address is 11 Chesterfield Drive, Warren, NJ 07059. The current status is inactive.

Basic Information

Licensee Name EDWARD A MACHERNIS
Credential ID 545465
Credential Number 1.025459
Credential Type Physician/Surgeon
Business Address 11 Chesterfield Drive
Warren
NJ 07059
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-08-15
Effective Date 2009-10-01
Expiration Date 2010-09-30
Refresh Date 2011-01-04

Office Location

Street Address 11 Chesterfield Drive
City WARREN
State NJ
Zip Code 07059

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Melissa F Machernis 11 Chesterfield Drive, Warren, NJ 07059 Registered Nurse 2008-04-28 ~ 2009-05-31

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Glenn M Phillips 58 Mt. Bethel Road, Warren, NJ 07059 Professional Engineer 2015-02-01 ~ 2016-01-31
Bumjung Lee 24 Geiger Ln, Warren, NJ 07059 Professional Engineer 1997-02-01 ~ 1998-01-31
Lyle H Hixenbaugh 9 Maxwell Ct, Warren, NJ 07059 Professional Engineer 1996-02-01 ~ 1997-01-31
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Competitor

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City WARREN
Zip Code 07059
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WARREN

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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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