JOSE R PENA-GOMEZ
Physician/surgeon


Address: 611 Birch St., Apt 1, Boonton, NJ 07005

JOSE R PENA-GOMEZ (Credential# 555957) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 18, 2001. The license expiration date date is March 31, 2002. The license status is INACTIVE.

Business Overview

JOSE R PENA-GOMEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038367. The credential type is physician/surgeon. The effective date is June 18, 2001. The expiration date is March 31, 2002. The business address is 611 Birch St., Apt 1, Boonton, NJ 07005. The current status is inactive.

Basic Information

Licensee Name JOSE R PENA-GOMEZ
Credential ID 555957
Credential Number 1.038367
Credential Type Physician/Surgeon
Business Address 611 Birch St., Apt 1
Boonton
NJ 07005
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-01-05
Effective Date 2001-06-18
Expiration Date 2002-03-31
Refresh Date 2009-07-08

Office Location

Street Address 611 Birch St., Apt 1
City Boonton
State NJ
Zip Code 07005

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Peter P Andruskiewicz 121 Banta Ln, Boonton, NJ 07005 Architect 2020-08-01 ~ 2021-07-31
Bryan S Muller 135 Taylortown Road, Boonton, NJ 07005 Professional Engineer 2020-02-01 ~ 2021-01-31
Alexander J Lapatka 10 Devon Rd, Boonton Twp, NJ 07005 Professional Engineer 2020-02-01 ~ 2021-01-31
Bruce M Rockwell 91 Fulton Street Unit 4, Boonton, NJ 07005 Professional Engineer 2020-02-01 ~ 2021-01-31
Gary W Musciano 611 Main Street, Boonton, NJ 07005 Architect 2019-08-01 ~ 2020-07-31
Paul K Tiajoloff 360 Hawkins Place, Boonton, NJ 07005 Architect 2015-08-01 ~ 2016-07-31
Geneva S Elias Warren 15 Meadowbrook Road, Boonton Township, NJ 07005 Massage Therapist 2014-11-01 ~ 2016-10-31
Jeffrey L Duncan 34 Cresthill Dr, Boonton Twp, NJ 07005 Professional Engineer 1997-02-01 ~ 1998-01-31
Candice E Aloisio Rd1 559 Knoll Road, Boonton, NJ 07005 Registered Nurse - Temporary 2014-12-08 ~ 2015-04-06
Thomas E Armbruster 124 Taylortown Rd, Boonton, NJ 07005 Plumbing & Piping Limited Journeyperson ~
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Competitor

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City Boonton
Zip Code 07005
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Boonton

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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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