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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
219538 | CSP.0028525 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-11-26 - 2003-02-28 | INACTIVE |
Street Address | 4 OX DRIVE |
City | BROOKFIELD |
State | CT |
Zip Code | 06804 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
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 |
Find all Licenses in zip 06804 |
City | BROOKFIELD |
Zip Code | 06804 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BROOKFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maria C Rivera-amisola · Maria C Rivera | 115 93rd 87 2nd Pl, Brooklyn, NY 11209 | Physician/surgeon | 2004-01-15 ~ 2004-12-31 |
Maria V Urfer Md | Po Box 95, Bentonville, VA 22610-0095 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Maria De Pena-nowak | 404 Midland Ave, Rye, NY 10580-3943 | Physician/surgeon | ~ |
Maria V Simone | 235 Pelhamdale Ave, Pelham, NY 10803 | Physician/surgeon | ~ |
Maria F Gonzalez | 19 Lockhouse Rd Apt 15-1, Westfield, MA 01085-8900 | Physician/surgeon | 2013-05-01 ~ 2014-05-31 |
Maria L. Anghel | 3540 Knight St, Oceanside, NY 11572-4616 | Physician/surgeon | ~ |
Maria M Pavlo | 380 New Haven Ave, Derby, CT 06418 | Physician/surgeon | 1994-01-04 ~ 1994-12-31 |
Maria A Fusi | 211 W 56th St Apt 24, New York, NY 10019-4312 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Maria S Goral | 13 A Nature Ave, Colchester, CT 06415 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Maria T Sabatini | 333 E. 30th St, New York, NY 10003 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).