LOUIS A VELAZQUEZ MD (Credential# 564904) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2010. The license expiration date date is April 30, 2011. The license status is INACTIVE.
LOUIS A VELAZQUEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047322. The credential type is physician/surgeon. The effective date is May 1, 2010. The expiration date is April 30, 2011. The business address is 322 Birnie Ave, Springfield, MA 01107-1104. The current status is inactive.
| Licensee Name | LOUIS A VELAZQUEZ MD |
| Credential ID | 564904 |
| Credential Number | 1.047322 |
| Credential Type | Physician/Surgeon |
| Business Address |
322 Birnie Ave Springfield MA 01107-1104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-01-29 |
| Effective Date | 2010-05-01 |
| Expiration Date | 2011-04-30 |
| Refresh Date | 2011-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 526893 | CSP.0045215 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-30 | 2009-05-13 - 2011-02-28 | INACTIVE |
| Street Address | 322 BIRNIE AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Center for Human Development Inc | 332 Birnie Ave, Springfield, MA 01107-1104 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lauren Elizabeth Marshall | 945 Armory St, Springfield, MA 01107 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer L Fish | 367 Union Street, Springfield, MA 01107 | Hairdresser/cosmetician | ~ |
| Joseph Pagan | 59 Rowland Street, Springfield, MA 01107 | Medication Administration Certification | 2020-04-20 ~ 2022-04-19 |
| Daniel Laguerre | 382 Springfield St, Springfield, MA 01107 | Crane Operator | ~ |
| Kamal Kant Kalia | 2 Medical Center Drive, Springfield, MA 01107 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Bushee Enterprises LLC | Po Box 1196, Southwick, MA 01107 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| B Lopez | 165 Prospect Street, Springfield, MA 01107 | Notary Public Appointment | 2011-10-01 ~ 2016-09-30 |
| Beth C Mcinerny | 260 Ware Road, Belchertown, MA 01107 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jorge Enrique Rivera | 20 Narragansett Street, Springfield, MA 01107 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Rachael Hynds-decoteau | 22 Candice Cir, Springfield, MA 01107 | Controlled Substance Registration for Practitioner | 2019-09-19 ~ 2021-02-28 |
| Find all Licenses in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SPRINGFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Joel Velazquez Rivera | 5002 White Oak Dr, Lumberton, NC 28358 | Physician/surgeon | ~ |
| Juan M Perez Velazquez | Day Kimball Hospital, Putnam, CT 06260-1836 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Leonardo J Velazquez | 3 Captain John Smith Circle, N. Dartmouth, MA 02747-3592 | Physician/surgeon | ~ |
| Eric J Velazquez | 333 Cedar Street Office Dana 332, New Haven, CT 06520-8017 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Louis R Cos | 990 South Ave, Rochester, NY 14620 | Physician/surgeon | 2000-11-17 ~ 2002-01-31 |
| Louis Costantini Md | 15 Manor Dr, Trumbull, CT 06611-3924 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Louis J Maggio | 8 Pryer La, Larchmont, NY 10538 | Physician/surgeon | 1992-05-27 ~ 1993-06-30 |
| Becky J Parks | 232 N Kingshighway, St Louis, MO 63108 | Physician/surgeon | 1993-10-25 ~ 1994-09-30 |
| Louis G Petcu Md | 75 Crystal Run Rd, Middletown, NY 10941-7000 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Louis Mazzella Md | Po Box 13422, St. Petersburg, FL 33733 | Physician/surgeon | 2020-04-01 ~ 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).