JUAN M PEREZ VELAZQUEZ (Credential# 1215990) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
JUAN M PEREZ VELAZQUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053169. The credential type is physician/surgeon. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is Day Kimball Hospital, Putnam, CT 06260-1836. The current status is inactive.
| Licensee Name | JUAN M PEREZ VELAZQUEZ |
| Credential ID | 1215990 |
| Credential Number | 1.053169 |
| Credential Type | Physician/Surgeon |
| Business Address |
Day Kimball Hospital Putnam CT 06260-1836 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-06-19 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1232565 | CSP.0057871 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-02 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | DAY KIMBALL HOSPITAL |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1836 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy J Sommer | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Debbi M Mcinteer Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Isabelita Bella | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nishant H Patel | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Bronson E Terry Md | Day Kimball Hospital, Putnam, CT 06260 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Paul Y Wong Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 2005-04-28 ~ 2006-05-31 |
| Tom Warzecka Pa | Day Kimball Hospital, Putnam, CT 06250 | Physician Assistant | 2001-07-16 ~ 2002-07-31 |
| Boris Konnikow Md | Day Kimball Hospital, Putnam, CT 06260-1868 | Physician/surgeon | 1999-01-19 ~ 2000-02-29 |
| Ivo Buhac Md | Day Kimball Hospital, Putnam, CT 06260-0901 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Ann Farrell Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 1998-05-29 ~ 1999-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Gino C Bottino | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anthony Chieffalo | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ana Mafalda Andrade Tudela Martins | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Amna Aziz | 320 Pomfret St, Putnam, CT 06260-1836 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Day Kimball Hospital | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Susan Brazille | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-12-09 ~ 2021-02-28 |
| James S Peng | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-09-03 ~ 2021-02-28 |
| Ernesto Sire Diaz | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-08-23 ~ 2021-02-28 |
| Stephen F Schiff | 320 Pomfret St, Putnam, CT 06260-1836 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06260-1836 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Neal | 69 Hawkins Road, Putnam, CT 06260 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Kellys Tire Inc | 306 School St, Putnam, CT 06260 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Donna Dumas | 19 Arthur Street, Putnam, CT 06260 | Medication Administration Certification | 2020-07-16 ~ 2022-07-15 |
| Mcdonalds #13538 | 6 Rpovidence Pike, Putnam, CT 06260 | Frozen Dessert Retailer | 2020-06-22 ~ 2020-12-31 |
| Cynthia C Paquin | 95 Elvira Heights Road, Putnam, CT 06260 | Dental Hygienist | 2018-11-01 ~ 2019-10-31 |
| Scott J Grimmett · Price Chopper | 251 Kennedy Drive Ste A, Putnam, CT 06260 | Grocery Beer | 2020-08-08 ~ 2021-08-07 |
| Lyne A Grillo · Fauteux | 73-155 Perry St, Putnam, CT 06260 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Crossings Restaurant and Brew Pub (the) | 45-47 Main St, Putnam, CT 06260 | Manufacturer for Beer and Brew Pub | 2019-11-26 ~ 2021-03-25 |
| June Elizabeth Foley | 4 Libertyhighway, Putnam, CT 06260 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Kevin J Bates · K J B Bldg Works | 7 Rowe St, Putnam, CT 06260 | Home Improvement Contractor | 2020-06-12 ~ 2020-11-30 |
| Find all Licenses in zip 06260 | |||
| City | PUTNAM |
| Zip Code | 06260 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PUTNAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Perez · Juan Construction | 99-14 42nd Ave, Corona, NY 11368 | Home Improvement Contractor | 2007-02-08 ~ 2007-11-30 |
| Juan M Perez-mota · Perez Construction | 210 Bishop St, Waterbury, CT 06704-3300 | Home Improvement Contractor | 2017-12-01 ~ 2018-11-30 |
| Louis A Velazquez Md | 322 Birnie Ave, Springfield, MA 01107-1104 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Eric Joel Velazquez Rivera | 5002 White Oak Dr, Lumberton, NC 28358 | Physician/surgeon | ~ |
| Leonardo J Velazquez | 3 Captain John Smith Circle, N. Dartmouth, MA 02747-3592 | Physician/surgeon | ~ |
| Juan Perez Home Improvement LLC | 72 Center Street, Bridgeport, CT 06604 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Eric J Velazquez | 333 Cedar Street Office Dana 332, New Haven, CT 06520-8017 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan P Velazquez | 168 Edgewood Ave Apt 5, New Haven, CT 06511-4540 | Milk Examiner | 2017-03-23 ~ 2019-03-22 |
| Juan Perez Home Improvement LLC | 72 Center St, Bridgeport, CT 06604-3341 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Juan F Velazquez | 320 Davenport Ave, New Haven, CT 06519 | Elevator Limited Journeyperson | ~ |
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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).