MARCO T GONZALEZ (Credential# 551101) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 11, 1995. The license expiration date date is February 29, 1996. The license status is INACTIVE.
MARCO T GONZALEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033502. The credential type is physician/surgeon. The effective date is January 11, 1995. The expiration date is February 29, 1996. The business address is 12385 Rocklege, Boca Raton, FL 33428. The current status is inactive.
Licensee Name | MARCO T GONZALEZ |
Credential ID | 551101 |
Credential Number | 1.033502 |
Credential Type | Physician/Surgeon |
Business Address |
12385 Rocklege Boca Raton FL 33428 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-02-04 |
Effective Date | 1995-01-11 |
Expiration Date | 1996-02-29 |
Refresh Date | 2009-07-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
163371 | CSP.0022024 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1994-04-19 - 1995-09-01 | INACTIVE |
Street Address | 12385 ROCKLEGE |
City | BOCA RATON |
State | FL |
Zip Code | 33428 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bangladesh American Society of Muslim Aid for Humanity Inc | 1400 Sw 64th Way, Boca Raton, FL 33428 | Public Charity | 2020-03-03 ~ 2020-11-30 |
Daniela Valencia | 21668 Fall River Drive, Boca Raton, FL 33428 | Pharmacist | 2020-02-03 ~ 2022-01-31 |
Frank Sivo | 22900 Sterling Lk Dr, Boca Raton, FL 33428 | Chiropractor | 2020-01-01 ~ 2020-12-31 |
Margaret M Di Santis | 9169 Sw 16th Rd. E., Boca Raton, FL 33428 | Dental Hygienist | 2020-01-01 ~ 2020-12-31 |
Wendy K Colindres | 21116 Shady Vista Lane, Boca Raton, FL 33428 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Scott J Roseff | 9960 Central Park Blvd, Boca Raton, FL 33428 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Jennifer L Berkowitz | 21185 Ponte Vista Circle, Boca Raton, FL 33428 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Marilyn R Weisser | 21760 Old Bridge Trail, Boca Raton, FL 33428 | Registered Nurse | 2016-11-01 ~ 2017-10-31 |
Charles Graham | 9200 Sw 3rd Street #117, Boca Raton, FL 33428 | Registered Nurse - Temporary | 2016-05-10 ~ 2016-09-06 |
Joseph A Polkowski · Land Surveyor | 11169 S Terradas Ln, Boca Raton, FL 33428 | Land Surveyor | 1993-02-08 ~ 1994-01-31 |
Find all Licenses in zip 33428 |
City | BOCA RATON |
Zip Code | 33428 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BOCA RATON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Marco Petrazzuoli Md | Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Marco E Melo | 121 Meadowridge Drive, Morgantown, WV 26505 | Physician/surgeon | ~ |
Marco Verga Md | 18 Sweetbriar Ln, Newtown, CT 06482 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Marco N Diaz | Cardiology, Westerly, RI 02891 | Physician/surgeon | 1998-12-03 ~ 1999-08-31 |
Marco Morel Md | 14 Woodford Hills Dr, West Hartford, CT 06119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Joan Glacy Md | 500 Saturn Court, Marco Island, FL 34145 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Charles J Gonzalez | 998 Amsterdam Ave, New York, NY 10025 | Physician/surgeon | 1992-10-23 ~ 1993-06-30 |
Maria F Gonzalez | 19 Lockhouse Rd Apt 15-1, Westfield, MA 01085-8900 | Physician/surgeon | 2013-05-01 ~ 2014-05-31 |
Luis R Gonzalez Md | Po Box 1451, Hartford, CT 06144 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Rafael D Gonzalez | 2008 Sycamore St, Bethlehem, PA 18017 | Physician/surgeon | 1993-12-28 ~ 1994-12-31 |
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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).