IVELISSE VIRUET MD
Physician/surgeon


Address: 167 Cedar Ridge Drive, Glastonbury, CT 06033

IVELISSE VIRUET MD (Credential# 552008) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

IVELISSE VIRUET MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034410. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 167 Cedar Ridge Drive, Glastonbury, CT 06033. The current status is active.

Basic Information

Licensee Name IVELISSE VIRUET MD
Credential ID 552008
Credential Number 1.034410
Credential Type Physician/Surgeon
Business Address 167 Cedar Ridge Drive
Glastonbury
CT 06033
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-04-21
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-04-16

Other licenses

ID Credential Code Credential Type Issue Term Status
161128 CSP.0023318 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 167 Cedar ridge drive
City Glastonbury
State CT
Zip Code 06033

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Maureen E Booth 36 Hubbard Run Drive, Glastonbury, CT 06033 Speech and Language Pathologist 2020-07-01 ~ 2021-06-30
Wendy B Johnson 1789 Main St, Glastonbury, CT 06033 Architect 2020-08-01 ~ 2021-07-31
Michael D Devanney Pa 28 Evergreen Ln, Glastonbury, CT 06033 Physician Assistant 2020-09-01 ~ 2021-08-31
Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Jennifer R Briones 90 Deerfield Drive, Glastonbury, CT 06033 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Glastonbury
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Glastonbury

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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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