MARIETTA VAZQUEZ MD (Credential# 553795) 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.
MARIETTA VAZQUEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036203. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 86 Dover Court, Guilford, CT 06437. The current status is active.
| Licensee Name | MARIETTA VAZQUEZ MD |
| Credential ID | 553795 |
| Credential Number | 1.036203 |
| Credential Type | Physician/Surgeon |
| Business Address |
86 Dover Court Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-18 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 179534 | CSP.0025607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 86 Dover Court |
| City | Guilford |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | Guilford |
| Zip Code | 06437 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Guilford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric S Brecher Md | 241 W Market St, Marietta, PA 17547-1413 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Marietta S Vergara Md | 743 Hope St, Stamford, CT 06907 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nelson Vazquez | 129 East Street, Fitchburg, MA 01420-3564 | Physician/surgeon | 1994-04-18 ~ 1995-02-28 |
| Syed W Rizvi | 1488 Monarch Ct, Marietta, GA 30062 | Physician/surgeon | 1996-11-13 ~ 1997-11-30 |
| Charles E Meredith | 2526 Kingsley Dr Ne, Marietta, GA 30062 | Physician/surgeon | 1993-05-25 ~ 1994-04-30 |
| Mark D Gronsbell | 3876 Clubland Dr, Marietta, GA 30068 | Physician/surgeon | 1993-04-23 ~ 1994-06-30 |
| Noemi Vazquez | 10804 Caminito Colorado, San Diego, CA 92131 | Physician/surgeon | 2009-02-13 ~ 2010-01-31 |
| Maria-dolores Vazquez-abad | 20 Pier 7, Charlestown, MA 02129 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Eric B Karlen | 1121 Johnson Ferry, Marietta, GA 30068 | Physician/surgeon | 1997-02-10 ~ 1998-01-31 |
| Marietta V Garcia-sonido Md | 7 Jeremiah Rd, Sandy Hook, CT 06482 | Physician/surgeon | 2014-01-01 ~ 2014-12-31 |
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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).