MARIEL S CASTILLO
Physician/surgeon


Address: 5607 Mt. Burnside Way, Burke, VA 22015

MARIEL S CASTILLO (Credential# 561406) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 20, 2005. The license expiration date date is December 31, 2005. The license status is INACTIVE.

Business Overview

MARIEL S CASTILLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043824. The credential type is physician/surgeon. The effective date is September 20, 2005. The expiration date is December 31, 2005. The business address is 5607 Mt. Burnside Way, Burke, VA 22015. The current status is inactive.

Basic Information

Licensee Name MARIEL S CASTILLO
Credential ID 561406
Credential Number 1.043824
Credential Type Physician/Surgeon
Business Address 5607 Mt. Burnside Way
Burke
VA 22015
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-20
Effective Date 2005-09-20
Expiration Date 2005-12-31
Refresh Date 2009-07-08

Office Location

Street Address 5607 Mt. Burnside Way
City Burke
State VA
Zip Code 22015

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Licensee Name Office Address Credential Effective / Expiration
Rebecca L Vasquez 9934 Lakepointe Court, Burke, VA 22015 Registered Nurse - Temporary 2019-11-27 ~ 2020-03-26
Caroline M Hennings 10700 Oakenshaw Court, Burke, VA 22015 Registered Nurse 2020-02-01 ~ 2021-01-31
Samuel H Babbitt 9509 Sailcloth Pl, Burke, VA 22015 Professional Engineer 2020-02-01 ~ 2021-01-31
Henry B. Hoff 10209 Faire Commons Court, Burke, VA 22015 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Salvatore Joseph Calabrese 5925 Oakland Park Dr, Burke, VA 22015 Professional Engineer 2017-02-01 ~ 2018-01-31
Carolyn Howland Anderson 9606 Hillock Ct, Burke, VA 22015 Professional Engineer 2011-02-08 ~ 2012-01-31
Leland D Eisenhower 9329 Old Burke Lake Rd, Burke, VA 22015 Professional Engineer 1991-01-09 ~ 1992-01-31
Barry P Kane 10606 Burnside Landing Ct, Burke, VA 22015 Professional Engineer 1989-02-07 ~ 1990-01-31
Roy E Braden 8998 Parliament Dr, Burke, VA 22015 Professional Engineer 2005-02-01 ~ 2006-01-31
Shyuan-ren Chen 9211 Byron Terrace, Burke, VA 22015 Professional Engineer 2003-02-01 ~ 2004-01-31
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Competitor

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City Burke
Zip Code 22015
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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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