OLIVER MAYORGA (Credential# 564874) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
OLIVER MAYORGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047292. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 32 Church St, Mystic, CT 06355. The current status is active.
| Licensee Name | OLIVER MAYORGA |
| Credential ID | 564874 |
| Credential Number | 1.047292 |
| Credential Type | Physician/Surgeon |
| Business Address |
32 Church St Mystic CT 06355 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-01-12 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 524357 | CSP.0045086 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-02-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 32 Church St |
| City | Mystic |
| State | CT |
| Zip Code | 06355 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kari K Mayorga | 32 Church St, Mystic, CT 06355-2739 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Roorbach | 30 Starr Lane, Mystic, CT 06355 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| David L Atkinson | 1184 River Road, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Angies Pier 27 · Angies Pizza of Stoning D | 25 Roosevelt Ave, Mystic, CT 06355 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Halvordson | 287 Judson Avenue, Mystic, CT 06355 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Adam A Velez | 78 Denison Avenue, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Munson's Chocolates | Old Mystic Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mark A Comeau | 6 School Street, Mystic, CT 06355 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mekhael E Srour | 2 Stonington Road, Mystic, CT 06355 | Real Estate Salesperson | ~ |
| Courtney Jane Littlewood | 244 High Meadow Ln, Mystic, CT 06355 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Franklins General Store · H Supply Co Inc Dba | Olde Mistick Village, Mystic, CT 06355 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06355 | |||
| City | Mystic |
| Zip Code | 06355 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Mystic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jodi-ann M Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Olivera J Bogunovic | 61 Oliver St., Brooklyn, NY 11209 | Physician/surgeon | 2000-12-14 ~ 2001-05-31 |
| Thomas M Hill | 172 Oliver Way, Bloomfield, CT 06002 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Robert H Oliver Md | 19 Hickory Dr, Greenwich, CT 06831 | Physician/surgeon | 1998-03-05 ~ 1999-04-30 |
| Lori Ann C Oliver | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| John Grimaldi | 95 Oliver Street, New Haven, CT 06511 | Physician/surgeon | 1980-07-09 ~ 1990-06-30 |
| Oliver S Winter | 6 Sunrise Lane, Madison, CT 06443 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Harry Oliver Stoutland | 416 Mitchell St, Ackley, IA 50601-1456 | Physician/surgeon | 1963-07-10 ~ 1978-12-31 |
| Zenia P Kaul | 35 Oliver Street, Brooklyn, NY 11209 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Kyauna Share Miller Sanders | 33 Oliver Ct, Freehold, NJ 07728 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on OLIVER MAYORGA.
| 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).