ANITA J MARTINEZ
Physician Assistant


Address: 5014 Fl Verano Avenue, Eagle Rock, CA 20041

ANITA J MARTINEZ (Credential# 742494) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 27, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

ANITA J MARTINEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000745. The credential type is physician assistant. The effective date is June 27, 2000. The expiration date is July 31, 2001. The business address is 5014 Fl Verano Avenue, Eagle Rock, CA 20041. The current status is inactive.

Basic Information

Licensee Name ANITA J MARTINEZ
Credential ID 742494
Credential Number 23.000745
Credential Type Physician Assistant
Business Address 5014 Fl Verano Avenue
Eagle Rock
CA 20041
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-05-15
Effective Date 2000-06-27
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Office Location

Street Address 5014 FL VERANO AVENUE
City EAGLE ROCK
State CA
Zip Code 20041

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Neighbors Who Care P.o. Box 17500, Washington, DC 20041 Public Charity-exempt From Financial Requirements ~
Justice Fellowship P.o. Box 17500, Washington, DC 20041 Public Charity-exempt From Financial Requirements ~
Prison Fellowship International P.o. Box 17434, Washington, DC 20041-0434 Public Charity-exempt From Financial Requirements ~

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Christy Salyards Lipscomb 370 Fieldale Road, Eagle Rock, VA 24085 Registered Nurse 2019-10-01 ~ 2020-09-30
Barbara Albright 1605 Hc 1, Eagle Rock, MO 65641-9731 Registered Nurse 2005-10-20 ~ 2006-07-31

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City EAGLE ROCK
Zip Code 20041
License Type Physician Assistant
License Type + County Physician Assistant + EAGLE ROCK

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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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