GIL M FERNANDEZ MD (Credential# 893023) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
GIL M FERNANDEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046428. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 4355 S National Ave Apt 1510, Springfield, MO 65810-2666. The current status is inactive.
Licensee Name | GIL M FERNANDEZ MD |
Credential ID | 893023 |
Credential Number | CSP.0046428 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
4355 S National Ave Apt 1510 Springfield MO 65810-2666 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2009-08-28 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
884044 | 1.048058 | Physician/Surgeon | 2009-08-13 | 2011-03-01 - 2012-02-29 | INACTIVE |
Street Address | 4355 S NATIONAL AVE APT 1510 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65810-2666 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amber Alexa Lewis | 5951 S. Lakeshore Dr., Springfield, MO 65810 | Registered Nurse | ~ |
Juan Du | 1198 W Stone Meadow Way, Springfield, MO 65810-1639 | Professional Engineer | 2019-12-03 ~ 2021-01-31 |
Dustin Leigh Slaten | 2735 W Grayrock Dr, Springfield, MO 65810-2014 | Registered Nurse | 2017-06-22 ~ 2017-11-30 |
Cassandra Elizabeth Morgan | 1974 W Arlington St, Springfield, MO 65810-2200 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
Veterans In Defense of Liberty | 4730 South National B3, Springfield, MO 65810-2895 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Susan L Grimm | 879 E Gaslight Dr, Springfield, MO 65810-3328 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
John C Miller | 2078 W Sexton Dr, Springfield, MO 65810-4723 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Kelly A Byrd | 5282 S Lexington Ave, Springfield, MO 65810-8602 | Registered Nurse | 2018-06-01 ~ 2019-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Springfield Rescue Mission | 10 Mill St, Springfield, MA 01108-1021 | Public Charity | 2019-06-01 ~ 2020-05-31 |
The Miracle Marc Foundation Inc. | 329 Bay St, Springfield, MA 01109-3520 | Public Charity | 2019-06-04 ~ 2020-05-31 |
New England Farm Workers Council Inc. | 11 Hampden St, Springfield, MA 01103-1270 | Public Charity | 2019-06-01 ~ 2020-05-31 |
National Museum of Americans In Wartime | 7006 Elkton Dr, Springfield, VA 22152-3330 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Thi Nguyen | 61 Coral Rd, Springfield, MA 01118 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Huy Nguyen | 519 Gifford St, Springfield, MA 01118 | Nail Technician | ~ |
Sang Lam | 11 Herman Streets, Springfield, MA 01108 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Alessandra Millan | 301 Dwight Rd, Springfield, MA 01108-3462 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Latoya Thornton | 35 Humbert St, Springfield, MA 01109-2229 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
Bienvenido Perez Jr | 352 Albany St, Springfield, MA 01105-1017 | Asbestos Abatement Supervisor | 2020-09-01 ~ 2021-08-31 |
Find all Licenses in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65810 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Maximo J Fernandez | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
Nicole B Fernandez | 25 Peterborough St Apt 14, Boston, MA 02215-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
James Fernandez Dds | 7 West Elm #a4, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 1998-03-30 ~ 1999-02-28 |
David Fernandez Pa | 86 Florence Rd, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Thomas V Fernandez Md | 350 George St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Yvette M Fernandez | 836 N Salem Rd, Ridgefield, CT 06877-1723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Anthony Fernandez Do | 2064 Byron Rd, Merrick, NY 11566 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Matthew R Fernandez | 131 Lazy Brook Rd, Monroe, CT 06468-3335 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Janice L Fernandez | 3626 Ruffin Rd, San Diego, CA 92123-1810 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Andres Fernandez | 360 State St Apt 2619, New Haven, CT 06510-3627 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
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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).