RAPHAEL J DE LIMA (Credential# 547432) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 14, 2008. The license expiration date date is October 31, 2009. The license status is INACTIVE.
RAPHAEL J DE LIMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028868. The credential type is physician/surgeon. The effective date is October 14, 2008. The expiration date is October 31, 2009. The business address is 3640 Main Street, Springfield, MA 01107-1139. The current status is inactive.
| Licensee Name | RAPHAEL J DE LIMA |
| Credential ID | 547432 |
| Credential Number | 1.028868 |
| Credential Type | Physician/Surgeon |
| Business Address |
3640 Main Street Springfield MA 01107-1139 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-03-04 |
| Effective Date | 2008-10-14 |
| Expiration Date | 2009-10-31 |
| Refresh Date | 2010-03-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 156437 | CSP.0016485 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-05-18 - 1996-06-01 | INACTIVE |
| Street Address | 3640 Main Street |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1139 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan D Glover | 3640 Main Street, Springfield, MA 01107-1139 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian K Bredvik | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Phillip S Kick | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Mark A Jackowitz | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Philip Moraitis | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| William C Tran | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Gregory J Faust | 3640 Main St Ste 205, Springfield, MA 01107-1139 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Mohammad R Mostafavi | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Donald J Sonn | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Alexander M. Berry | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luis T Aspauza | Ave Montagne 198, Lima 18 | Physician/surgeon | 1996-07-29 ~ 1997-04-30 |
| Raphael M Cooper | 12 Great Oak Ln, Unionville, CT 06085-1544 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ronan Ali Md | Hospital of St.raphael, New Haven, CT 06511 | Physician/surgeon | 2008-03-04 ~ 2009-04-30 |
| Raphael A Carandang Md | 55 Lake Ave N, Worcester, MA 01655-0002 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Enrique C Quimper | Scipion Llona 180, Lima 18 | Physician/surgeon | 1994-11-25 ~ 1995-09-30 |
| David W Mcdonald | 851 Thornberry Trl, North Lima, OH 44452-8518 | Physician/surgeon | 2013-01-10 ~ 2013-06-30 |
| David M Lima Md | 46 Prince Street, New Haven, CT 06519 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| John R Kuhns | 658 W. Market Street, Lima, OH 45801 | Physician/surgeon | 1973-02-16 ~ 1984-05-31 |
| Douglas B Karel | 101 Timberfield Drive, Lima, OH 45807 | Physician/surgeon | 2008-07-03 ~ 2009-06-30 |
| Robert J Lin | 7282 Sitio Lima, Carlsbad, CA 92009-8484 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
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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).