ENRIQUE A VILLARREAL (Credential# 558618) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 15, 2005. The license expiration date date is November 30, 2006. The license status is INACTIVE.
ENRIQUE A VILLARREAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041035. The credential type is physician/surgeon. The effective date is November 15, 2005. The expiration date is November 30, 2006. The business address is 2524 Edwina Court, Gulf Breeze, FL 32563. The current status is inactive.
Licensee Name | ENRIQUE A VILLARREAL |
Credential ID | 558618 |
Credential Number | 1.041035 |
Credential Type | Physician/Surgeon |
Business Address |
2524 Edwina Court Gulf Breeze FL 32563 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2002-12-30 |
Effective Date | 2005-11-15 |
Expiration Date | 2006-11-30 |
Refresh Date | 2009-07-08 |
Street Address | 2524 Edwina Court |
City | Gulf Breeze |
State | FL |
Zip Code | 32563 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Laura Hickman | 1616 Mauna Kea Ct, Gulf Breeze, FL 32563 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Anne E Axline Howe | 4737 Soundside Dr, Gulf Breeze, FL 32563 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Elizabeth H Jones | 4822 Foxtail Palm Drive, Gulf Breeze, FL 32563 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Lisa A. Fairbanks | 2563 Sylte Lane, Gulf Breeze, FL 32563 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
Gary Lee Martin | 3311 Gulf Breeze Pkwy Pmb 326, Gulf Breeze, FL 32563 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
Joan M Miller | 6475 Sailport, Gulf Breeze, FL 32563 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
Paul A Theriault | 2009 Reserve Blvd, Gulf Breeze, FL 32563 | Registered Nurse | 2016-07-01 ~ 2017-06-30 |
Sally A Maurer | 1240 Autumn Breeze Circle, Gulf Breeze, FL 32563 | Optician | 2011-07-01 ~ 2012-06-30 |
Pamela A Gildersleeve | 5825 East Bay Boulevard, Gulf Breeze, FL 32563 | Registered Nurse | 2002-02-11 ~ 2002-12-31 |
Michael A Crowell | 3993 Spanish Moss Cove, Gulf Breeze, FL 32563 | Electrical Unlimited Contractor | 2005-10-01 ~ 2006-09-30 |
Find all Licenses in zip 32563 |
City | Gulf Breeze |
Zip Code | 32563 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Gulf Breeze |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gerardo Villarreal | 17019 Frederick St, Hartford, CT 06105 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
Enrique Garcia | 1 Dickel Rd, Scarsdale, NY 10583-2117 | Physician/surgeon | 2020-04-02 ~ 2020-10-31 |
Jaime Enrique Verastegui | 355 S Street Ext, Coventry, CT 06238-3429 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Enrique J Tello Silva Md | 60 Washington Ave Ste 304, Hamden, CT 06518-3273 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Carlos Enrique Encarnacion | 206 Castlebar Rd, Rochester, NY 14610-2914 | Physician/surgeon | 1987-04-10 ~ 1990-01-03 |
Enrique N Ponte | 112 Camino Penasco, El Paso, TX 79912 | Physician/surgeon | 1994-06-13 ~ 1995-02-28 |
Enrique C Quimper | Scipion Llona 180, Lima 18 | Physician/surgeon | 1994-11-25 ~ 1995-09-30 |
Enrique G Aramburu | 4323 Colden Street, Flushing, NY 11355 | Physician/surgeon | ~ 1995-04-30 |
Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Enrique Ballesteros | University of Connecticut Health Center, Farmington, CT 06030-2230 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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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).