IVAN D LOPEZ (Credential# 557144) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.
IVAN D LOPEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039560. The credential type is physician/surgeon. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 2550 Citrus Tower Boulevard, Clermont, FL 34711-2889. The current status is active.
| Licensee Name | IVAN D LOPEZ |
| Credential ID | 557144 |
| Credential Number | 1.039560 |
| Credential Type | Physician/Surgeon |
| Business Address |
2550 Citrus Tower Boulevard Clermont FL 34711-2889 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-05-30 |
| Effective Date | 2019-06-01 |
| Expiration Date | 2020-05-31 |
| Refresh Date | 2019-05-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 283623 | CSP.0031086 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-12-18 - 2003-02-28 | INACTIVE |
| Street Address | 2550 citrus tower boulevard |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-2889 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne D Grant | 975 Princeton Drive, Clermont, FL 34711 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Danielle L Lockett | 2530 Citrus Tower Blvd, Clermont, FL 34711 | Registered Nurse - Temporary | 2020-01-09 ~ 2020-05-08 |
| Deborah Mcmillian | 14425 N Greater Hills Blvd, Clermont, FL 34711 | Registered Nurse - Temporary | 2020-04-28 ~ 2020-08-26 |
| Danyelle S Geis | 11115 Lemay Dr, Clermont, FL 34711 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael J Dimeo | 3658 Rollingbrook Street, Clermont, FL 34711 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Thomas E Pistilli | 16520 Spring Park Drive, Clermont, FL 34711 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| John F Morrissey Jr | 3910 Scarborough Ct, Clermont, FL 34711 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Lisa A Duane | 11212 Scenic Vista Drive, Clermont, FL 34711 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Diane C Speranza | 10856 Masters Drive, Clermont, FL 34711 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Allison L Calkins | 10301 U.S. Highway 27 Unit 141, Clermont, FL 34711 | Registered Nurse | 2018-02-01 ~ 2019-01-31 |
| Find all Licenses in zip 34711 | |||
| City | CLERMONT |
| Zip Code | 34711 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CLERMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ivan T Miller | 275 W 96th St, New York, NY 10025-6200 | Physician/surgeon | 2017-10-16 ~ 2018-07-31 |
| Nathan Ivan Yost | 15 Rockview Ter, New Haven, CT 06511-1619 | Physician/surgeon | ~ 1983-12-31 |
| Ivan Dario Baraque | 4 Woodcrest Ct, West Nyack, NY 10994-1213 | Physician/surgeon | ~ |
| John J Griffin Jr | 37 Ivan Hill St, Willimantic, CT 06226-2001 | Physician/surgeon | 1985-06-27 ~ 1988-02-28 |
| Ivan P Rappaport | 414 Maple Avenue, Saratoga Springs, NY 12866 | Physician/surgeon | 1994-08-19 ~ 1995-10-31 |
| Ivan R Lopez | 48 Englewood Ave, Bridgeport, CT 06606-2865 | Barber | 2019-08-01 ~ 2021-07-31 |
| Raul E Lopez | 211 Mooreland Rd, Kensington, CT 06037 | Physician/surgeon | 1994-07-15 ~ 1995-09-30 |
| Javier Lopez | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph Lopez | 129 W Montgomery St, Baltimore, MD 21230-3629 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
| Christina Clare Lopez | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2019-09-11 ~ 2020-05-31 |
Please comment or provide details below to improve the information on IVAN D LOPEZ.
| 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).