TYLER B EVANS (Credential# 1203795) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
TYLER B EVANS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052809. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 1080 Emeline Ave, Santa Cruz, CA 95060. The current status is active.
| Licensee Name | TYLER B EVANS |
| Credential ID | 1203795 |
| Credential Number | 1.052809 |
| Credential Type | Physician/Surgeon |
| Business Address |
1080 Emeline Ave Santa Cruz CA 95060 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-28 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1204501 | CSP.0056651 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-03-07 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1336794 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 1080 Emeline Ave |
| City | Santa Cruz |
| State | CA |
| Zip Code | 95060 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| New Teacher Center | 1205 Pacific Avenue, Santa Cruz, CA 95060 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Vanessa C Little Do | 314 Palm Street, Santa Cruz, CA 95060 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Susan Bearman | 146 Chrystal Terr, Santa Cruz, CA 95060 | Registered Nurse | 2009-06-01 ~ 2010-06-30 |
| Raelene M Walker Md | 746d Nobel Dr, Santa Cruz, CA 95060 | Physician/surgeon | 2002-06-17 ~ 2003-07-31 |
| Jessica Volke | 1110 King Street, Santa Cruz, CA 95060 | Physical Therapist | 1998-07-17 ~ 1999-08-31 |
| Jordan A Larson | 502 Van Ness Avenue, Santa Cruz, CA 95060 | Physical Therapist | 1997-12-26 ~ 1999-01-31 |
| Lillian A Eklof | 143 Spring St, Santa Cruz, CA 95060-2519 | Emergency Medical Technician | 2011-01-25 ~ 2013-10-01 |
| Organic Farming Research Foundation | 303 Potrero St Ste 29-203, Santa Cruz, CA 95060-2759 | Public Charity | 2014-12-01 ~ 2015-11-30 |
| Save The Frogs! | 303 Potrero St Ste 51, Santa Cruz, CA 95060-2760 | Public Charity | 2012-06-01 ~ 2013-05-31 |
| Dale A Hendsbee | 224 Walnut Ave Ste B, Santa Cruz, CA 95060-3836 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Find all Licenses in zip 95060 | |||
| City | Santa Cruz |
| Zip Code | 95060 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Santa Cruz |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cassandra B Evans | 6125 N 3rd Ave, Phoenix, AZ 85013 | Physician/surgeon | 2019-09-25 ~ 2020-08-31 |
| Shaytone Evans Md | 589 Hartford Rd, New Britain, CT 06053 | Physician/surgeon | 2003-05-30 ~ 2004-05-31 |
| Ronald S Kahan | 21 Evans Ln, Wilton, CT 06897-2418 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Elizabeth Y Evans Md | Po Box 681946, Charlotte, NC 28216 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Michael A. Evans | 25 Orchard Dr, Gilford, NH 03249-7451 | Physician/surgeon | 2019-06-01 ~ 2020-05-31 |
| William E Evans Jr | 15 Cullen Way, Exeter, NH 03833-4309 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Sean T O'mara | 161 Fort Evans Rd Ne Ste 255, Leesburg, VA 20176-3376 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Evans H Daniels Jr | 303 Garden Street, Wethersfield, CT 06109 | Physician/surgeon | 2004-08-02 ~ 2005-09-30 |
| George W Evans | 10 Lufkin Pt Lane, Essex, MA 01929 | Physician/surgeon | 1994-12-19 ~ 1996-02-29 |
| Therman E Evans | 900 Cottage Grove, Bloomfield, CT 06152 | Physician/surgeon | 1992-09-24 ~ 1993-08-31 |
Please comment or provide details below to improve the information on TYLER B EVANS.
| 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).