JAVIER LOPEZ (Credential# 562121) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JAVIER LOPEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044539. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 267 Grant St, Bridgeport, CT 06610-2805. The current status is active.
| Licensee Name | JAVIER LOPEZ |
| Credential ID | 562121 |
| Credential Number | 1.044539 |
| Credential Type | Physician/Surgeon |
| Business Address |
267 Grant St Bridgeport CT 06610-2805 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-06-29 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 380467 | CSP.0035984 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Javier Lopez | 109 Legion Avenue, New Haven, CT 06519 | Medication Administration Certification | 2010-07-18 ~ 2012-07-17 |
| Javier Lopez | 775 Orange Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Javier Lopez · Snet | 158 Paddock Ave #1801, Meriden, CT 06450 | Public Service Technician - Telephone | ~ |
| Street Address | 267 GRANT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Roth | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Madeline Carmain | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Aishwariya S Vegunta | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Rasha T Ismail | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| Benjamin Hans Jeuk | 267 Grant St, Bridgeport, CT 06610 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Lucia Plichtova | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Kwabena Sefah Nketiah Sarpong | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Prajna D'silva | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Fabricio Malaguez Webber | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gilead I Lancaster Md | 267 Grant St Fl 10, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nabil A Atweh | 267 Grant St Fl 8, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Edwin Jin Su Lee | 297 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-08-11 ~ 2019-02-28 |
| Wilhelmina Jackson | 226 Mill Hill Ave., Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joanna Zolkowski-wynne | 267 Grant St # 5000, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad A Younus | 287 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Maximilian Klein | Bridgeport Hospital, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Edosa I Odaro | 267 Grant Street, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Javier A Pou Md | 40 Prospect St/bldg 2#2f, Norwalk, CT 06850 | Physician/surgeon | 2004-08-04 ~ 2005-04-30 |
| Javier Ballester Gonzalez | 60 Sheldon Ter Fl 3, New Haven, CT 06511-2006 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Javier L Sanchez | 60 Otter Creek Rd, Johnsonville, NY 12094 | Physician/surgeon | 1999-09-15 ~ 2000-09-30 |
| Javier Dax Gonzalez | 84 Brookside Dr, West Hartford, CT 06107 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Javier Vasquez | 52 John Olds Drive, #209, Manchester, CT 06040 | Physician/surgeon | 2003-09-19 ~ 2004-09-30 |
| Jose Javier Bravo-zanchez | 38 Vine St, Milford, CT 06460 | Physician/surgeon | 2016-09-26 ~ 2017-08-31 |
| Javier Francisco L Yuvienco | 9812 57th Street Ct W, University Place, WA 98467-1336 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Javier A Lopez | 95 Carter St, Oakville, CT 06779-1245 | Emergency Medical Technician | 2017-03-06 ~ 2020-07-01 |
| Javier A Lopez | 55 Thompson St, East Haven, CT 06513 | Real Estate Salesperson | 2010-06-08 ~ 2011-05-31 |
| Joseph Lopez | 129 W Montgomery St, Baltimore, MD 21230-3629 | Physician/surgeon | 2020-04-02 ~ 2021-03-31 |
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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).