JORGE E. MENDIZABAL (Credential# 1153075) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
JORGE E. MENDIZABAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052187. The credential type is physician/surgeon. The effective date is August 1, 2016. The expiration date is July 31, 2017. The business address is 5121 Cape Ann Dr, Corpus Christi, TX 78412-2616. The current status is inactive.
| Licensee Name | JORGE E. MENDIZABAL |
| Credential ID | 1153075 |
| Credential Number | 1.052187 |
| Credential Type | Physician/Surgeon |
| Business Address |
5121 Cape Ann Dr Corpus Christi TX 78412-2616 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-07-01 |
| Effective Date | 2016-08-01 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1183101 | CSP.0056048 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-09-05 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1154129 | CSP.0054381 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | EXPIRED APPLICATION | |
| 978558 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
| Street Address | 5121 CAPE ANN DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78412-2616 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mekam Tochukwu Okoye | 5750 Curtis Clark Drive, Corpus Christi, TX 78412 | Physician/surgeon | ~ |
| Trinda Carole Pearson | 5929 Kimbrough Drive, Corpus Christi, TX 78412 | Certified Public Accountant License | 1998-01-01 ~ 1998-12-31 |
| Bernard J Perron | 4350 Ocean Dr, Corpus Christi, TX 78412 | Physician/surgeon | 1996-04-15 ~ 1997-06-30 |
| Stephanie A Meyer | 913 Virgil Drive, Corpus Christi, TX 78412 | Hairdresser/cosmetician | 2005-12-06 ~ 2007-11-30 |
| Allen D Kappes | 5825 Hugo Dr, Corpus Christi, TX 78412 | Electrical Unlimited Journeyperson | 2005-10-19 ~ 2006-09-30 |
| Morgan S. Campbell | 301 Poenisch Dr, Corpus Christi, TX 78412-2709 | Physician/surgeon | ~ |
| Shannon Dee Rackley | 1617 Daly Dr, Corpus Christi, TX 78412-4715 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rizaldy Borja Valeza | 6013 Tapestry Dr, Corpus Christi, TX 78414-6334 | Physical Therapist | ~ |
| Nestor H Praderio | 1315 Santa Fe St Ste 201, Corpus Christi, TX 78404-2290 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Michael Smith | 400 Mann St Ste 901, Corpus Christi, TX 78401-2049 | Repairer of Weighing & Measuring Devices | 2020-03-04 ~ 2020-12-31 |
| Tanya Alexandra Young | 7113 Lindenwood Dr, Corpus Christi, TX 78414-6222 | Registered Nurse | 2020-03-04 ~ 2021-02-28 |
| Cherie A Smith-causey | 11017 Stonewall Blvd, Corpus Christi, TX 78410 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Andrew L Amendola | 4917 Delwood St, Corpus Christi, TX 78413-5132 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Douglas A Wszolek | 6310 Alexis Dr., Corpus Christi, TX 78414 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Thomas Feiler | 5201 Tartan Dr, Corpus Christi, TX 78413-4606 | Radiographer | 2020-01-01 ~ 2020-12-31 |
| Rachael R Lembo | 13997 Ports O Call Dr Apt D, Corpus Christi, TX 78418-6598 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Cecilia Marta Ekberg | 13969 Fortuna Bay Dr Apt B, Corpus Christi, TX 78418-6397 | Registered Nurse | 2019-11-01 ~ 2020-11-30 |
| Find all Licenses in CORPUS CHRISTI | |||
| City | CORPUS CHRISTI |
| Zip Code | 78412 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CORPUS CHRISTI |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jorge R Dejesus-miranda | St 1 #12, Guaynabo, PR 00968 | Physician/surgeon | 2011-10-01 ~ 2012-09-30 |
| Jorge A Ramirez Md | Eden Prairie, MN 55344 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Jorge Rios | 180 Rustcraft Rd Ste 115, Dedham, MA 02026-4551 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jorge Lodeiro | 14 Currier Way, Cheshire, CT 06410-1429 | Physician/surgeon | 1983-04-20 ~ 1988-03-31 |
| Jorge Alba | 21 Fir Grove Rd, Manchester, CT 06040-7140 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Jorge A. Dabdoub Md | 12 Case St Ste 104, Norwich, CT 06360 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jorge E Otero | 22 Turtle Bay Dr, Branford, CT 06405-4970 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jorge Ramos | 346 Alden Ave, New Haven, CT 06515-2123 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
| Jorge A Oceguera | 6 Fairmount Ave, Yonkers, NY 10701 | Physician/surgeon | 2001-05-11 ~ 2002-02-28 |
| Jorge L Diez Md | 893 Main St Ste 202, East Hartford, CT 06108-2293 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on JORGE E. MENDIZABAL.
| 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).