LUIS A AVALOS MD (Credential# 546533) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LUIS A AVALOS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027349. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 92 Strawberry St, Lisbon, CT 06351. The current status is active.
| Licensee Name | LUIS A AVALOS MD |
| Credential ID | 546533 |
| Credential Number | 1.027349 |
| Credential Type | Physician/Surgeon |
| Business Address |
92 Strawberry St Lisbon CT 06351 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-07-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 154961 | CSP.0014285 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 92 STRAWBERRY ST |
| City | LISBON |
| State | CT |
| Zip Code | 06351 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Katherine L Stockwell | 471 Voluntown Road, Griswold, CT 06351 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Sandra L Conger | 494 Roode Rd, Griswold, CT 06351 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary E Malin | 11 Pequot Trail, Griswold, CT 06351 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Sara E Griffin | 30 Bishop Crossing Rd., Griswold, CT 06351 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Lisbon Mobil #85 | 107 River Rd, Lisbon, CT 06351 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Victoria M Arico | 57 Rimek Road, Lisbon, CT 06351 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ricky Robillard | 127 Griswold Dr., Jewett City, CT 06351 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Martha Ann Williams | 20 Stetson Rd, Griswold, CT 06351 | Notary Public Appointment | 2020-06-19 ~ 2025-06-30 |
| Sara R. Loarca | 68 Bergendahl Drive, Griswold, CT 06351 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Jeanette Dascomb | 204 North Main Street, Jewett City, CT 06351 | Medication Administration Certification | ~ |
| Find all Licenses in zip 06351 | |||
| City | LISBON |
| Zip Code | 06351 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LISBON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hugo Avalos · Hugo Avalos Landscaping | 37 Strawberry Hill Ave, Norwalk, CT 06855 | Home Improvement Contractor | 2011-01-03 ~ 2011-11-30 |
| Luis Teba | Po Box 400, Wallingford, CT 06492-7048 | Physician/surgeon | 2013-12-01 ~ 2014-11-30 |
| Luis T Aspauza | Ave Montagne 198, Lima 18 | Physician/surgeon | 1996-07-29 ~ 1997-04-30 |
| Luis A Royer-jerez | Po Box 809, Logan, WV 25601 | Physician/surgeon | 1998-03-09 ~ 1999-02-28 |
| Luis F Bieler | 84-23 Manton St 3-a, Briarwood, NY 11435 | Physician/surgeon | ~ 1996-11-30 |
| Luis E Berrutti | 7 Village Dr., Huntington, NY 11743 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Luis R Gonzalez Md | Po Box 1451, Hartford, CT 06144 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Luis F Fajardo | Va Med Ctr Patholog, Palo Alto, CA 94304 | Physician/surgeon | 2007-11-26 ~ 2009-01-31 |
| Luis B Suarez | 1450 Chapel St # 136, New Haven, CT 06511-4405 | Physician/surgeon | 2015-11-18 ~ 2016-11-30 |
| Luis Chapman | 805 Atlantic Street, Stamford, CT 06902 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
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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).