MAXIMILIAN GOMEZ-TROCHEZ MD (Credential# 1003258) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MAXIMILIAN GOMEZ-TROCHEZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050506. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 51 Depot Street, Suite 202, Watertown, CT 06795. The current status is active.
| Licensee Name | MAXIMILIAN GOMEZ-TROCHEZ MD |
| Credential ID | 1003258 |
| Credential Number | CSP.0050506 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
51 Depot Street, Suite 202 Watertown CT 06795 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-06-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1000929 | 1.049979 | Physician/Surgeon | 2011-06-15 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 51 DEPOT STREET, SUITE 202 |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Taylor Mia Lundy | 265 Kimberly Ln, Watertown, CT 06795 | Registered Nurse | 2020-06-27 ~ 2020-11-30 |
| Judith A Hill | 23 Malvern Hill Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carol Mancini Dumond | 57 Bryant, Watertown, CT 06795 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Michelle J Stankus | 119 Edge Road, Watertown, CT 06795 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Linda Z Terenzo · Grella | 215 Claxton Ave., Watertown, CT 06795 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Egbrid T30 Pr 9358 | 856 Echo Lake Rd, Watertown, CT 06795 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
| Ana L Guaman | 1278 Main Street Ste 4, Watertown, CT 06795 | Nail Technician | ~ |
| Eric A Tymula | 727 Park Rd, Watertown, CT 06795 | Tattoo Technician | 2020-03-01 ~ 2022-02-28 |
| Margaret A Chilson | 259 Litchfield Road, Watertown, CT 06795 | Massage Therapist | 2020-05-01 ~ 2022-04-30 |
| Laura L Rock | 187 Georgetown Drive, Watertown, CT 06795 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06795 | |||
| City | WATERTOWN |
| Zip Code | 06795 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maximilian H Lee | 85 Seymour St Ste 719, Hartford, CT 06106-5526 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maximilian W Hartmannsgruber Md | 47 Jackson Rd, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maximilian Klein | Bridgeport Hospital, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carrie Kim Gomez | 385 Main St S, Southbury, CT 06488-4240 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Norma Gomez Dds | 144 N Main St Ste 8, Branford, CT 06405-3044 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carrie Gomez | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2013-04-19 ~ 2015-02-28 |
| Joaquin Carral Gomez | 40 Mansfield Ave, Willimantic, CT 06226-2018 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jose L Gomez Villalobos Md | 993 Patricia Ct, Orange, CT 06477-1053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Efraim Gomez-zapata | 60 Strawberry Hill Ave Ste L1, Stamford, CT 06902-8504 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose L Gomez Villalobos | 90 Bolton Street, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2008-09-05 ~ 2009-02-28 |
Please comment or provide details below to improve the information on MAXIMILIAN GOMEZ-TROCHEZ MD.
| 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).