MARIA EVASOVICH MD
Physician/surgeon


Address: 4 Ox Drive, Brookfield, CT 06804

MARIA EVASOVICH MD (Credential# 555518) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 25, 2002. The license expiration date date is December 31, 2003. The license status is INACTIVE.

Business Overview

MARIA EVASOVICH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037928. The credential type is physician/surgeon. The effective date is November 25, 2002. The expiration date is December 31, 2003. The business address is 4 Ox Drive, Brookfield, CT 06804. The current status is inactive.

Basic Information

Licensee Name MARIA EVASOVICH MD
Credential ID 555518
Credential Number 1.037928
Credential Type Physician/Surgeon
Business Address 4 Ox Drive
Brookfield
CT 06804
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-07-02
Effective Date 2002-11-25
Expiration Date 2003-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
219538 CSP.0028525 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2002-11-26 - 2003-02-28 INACTIVE

Office Location

Street Address 4 OX DRIVE
City BROOKFIELD
State CT
Zip Code 06804

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Juan Liang 6 Tara Dr, Brookfield, CT 06804 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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J Scott Williams 30 Obtuse Road South, Brookfield, CT 06804 Landscape Architect 2020-08-01 ~ 2021-07-31
Liudmila Yakauleva 317 Federal Road Suite C, Brookfield, CT 06804 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Brandi L Hennessey 24 Riverview Court, Brookfield, CT 06804 Real Estate Salesperson ~
Medical Warehouse Inc 72 Grays Bridge Rd, Brookfield, CT 06804 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Heather Lynn Edelmann 87 Heatherwood Drive, Brookfield, CT 06804 Notary Public Appointment 2020-06-25 ~ 2025-06-30
Xiaoming Zheng 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Shop Rite Federal Rd, Brookfield, CT 06804 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City BROOKFIELD
Zip Code 06804
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKFIELD

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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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