WATARU TAMURA (Credential# 553863) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 4, 1998. The license expiration date date is April 30, 1999. The license status is INACTIVE.
WATARU TAMURA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036271. The credential type is physician/surgeon. The effective date is May 4, 1998. The expiration date is April 30, 1999. The business address is 303 West Country, Roswell, NM 88201. The current status is inactive.
Licensee Name | WATARU TAMURA |
Credential ID | 553863 |
Credential Number | 1.036271 |
Credential Type | Physician/Surgeon |
Business Address |
303 West Country Roswell NM 88201 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1997-08-01 |
Effective Date | 1998-05-04 |
Expiration Date | 1999-04-30 |
Refresh Date | 2009-07-08 |
Street Address | 303 WEST COUNTRY |
City | ROSWELL |
State | NM |
Zip Code | 88201 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pauline B Harris | 317 Ave E, Roswell, NM 88201 | Hairdresser/cosmetician | 2019-03-01 ~ 2021-02-28 |
Adil M Choudhary Md · Heather Ridge Condos | 5 Victoria Court, Roswell, NM 88201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Reyna E Hernandez | 505 South Aspen, Roswell, NM 88201 | Engineer-in-training | ~ |
Laura S Greci M.d. | 7 Victoria Ct, Roswell, NM 88201 | Physician/surgeon | 2002-04-09 ~ 2003-04-30 |
Christi Wentland | 2800 W Bland, Roswell, NM 88201 | Occupational Therapist | 1981-01-01 ~ 1995-07-31 |
Timothy J Carroll | 407 Park Drive, Roswell, NM 88201 | Physical Therapist | ~ 1999-09-30 |
Roberto A Varela | 2800 Princeton Drive, Roswell, NM 88201 | Registered Nurse | 1997-01-31 ~ 1998-03-31 |
Shams Tabrez Md | 12 Berrendo Meadows, Roswell, NM 88201 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
Robert J Chevett | 81 Fitzgerald Pl, Roswell, NM 88201 | Heating, Piping & Cooling Limited Contractor | ~ |
Elaine A West | 21 B Street, Roswell, NM 88201 | Registered Nurse | 1992-02-24 ~ 1993-02-28 |
Find all Licenses in zip 88201 |
City | ROSWELL |
Zip Code | 88201 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ROSWELL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rose M Tamura | 41 Sullivan Dr, Redding, CT 06896-2509 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Juliet I Tamura | Po Box 188818, Sacramento, CA 95818 | Licensed Practical Nurse | 1992-04-24 ~ 1993-03-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).