JOSE D. HERAZO-MAYA (Credential# 1206448) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JOSE D. HERAZO-MAYA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056712. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 24 Del Avenue, North Haven, CT 06473. The current status is lapsed.
| Licensee Name | JOSE D. HERAZO-MAYA |
| Credential ID | 1206448 |
| Credential Number | CSP.0056712 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
24 Del Avenue North Haven CT 06473 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2014-04-03 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2020-04-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1163390 | 1.052191 | Physician/Surgeon | 2013-07-01 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 24 Del Avenue |
| City | North Haven |
| State | CT |
| Zip Code | 06473 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Renee A Rollier | 90 Fallon Drive, North Haven, CT 06473 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carly J Brueggestrat Aprn | 191 Cloudland Rd, North Haven, CT 06473 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Heesuk Hyun | 769 Middletown Ave, North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jacqueline N Sancho | 9 Corey Rd, North Haven, CT 06473 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
| Irene L Smith | 35 Debra Lane, North Haven, CT 06473 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Jane S Jane | 380 Skiff Street, North Haven, CT 06473 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Shana Kathleen Lipp | [email protected], North Haven, CT 06473 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Haifeng Piao | 201 Universal Drive, North Haven, CT 06473 | Nail Technician | ~ |
| Xuefan Piao | 32 Lexington Gardens, North Haven, CT 06473 | Nail Technician | ~ |
| Zachary A Cuzzocreo | 45 Thorpe Street, North Haven, CT 06473 | Real Estate Salesperson | 2020-06-20 ~ 2021-05-31 |
| Find all Licenses in zip 06473 | |||
| City | North Haven |
| Zip Code | 06473 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + North Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maya Salameh Md | 44 Pearl St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-03-23 ~ 2005-02-28 |
| Susan Maya | 198 Edwards St Apt 3, New Haven, CT 06511-3702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maya Arii | 239 Edwards St Apt 2e, New Haven, CT 06511-3736 | Controlled Substance Registration for Practitioner | 2010-09-16 ~ 2011-02-28 |
| Maya Johar Dds | 1354 Miller Pl, Los Angeles, CA 90069-1423 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Maya Bartel | 85 Laurel Road, Guilford, CT 06437-2350 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maya G Prabhu | C/o Law and Psychiatry Division, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Maya T Khoukaz | 2312 Elliston Place Apt 441, Nashville, TN 37203 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Maya M Petashnick | 263 Farmington Avenue, Farmington, CT 06030-1921 | Controlled Substance Registration for Practitioner | 2019-06-20 ~ 2021-02-28 |
| Jose M Mullen Md | Po Box 387, Colchester, CT 06415 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Jose Ruades | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
Please comment or provide details below to improve the information on JOSE D. HERAZO-MAYA.
| 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).