JOSE ANTONIO PACHECO
Physician/surgeon


Address: 11995 Singletree Lane, Suite 550, Eden Prairie, MN 55344

JOSE ANTONIO PACHECO (Credential# 1372161) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2017. The license expiration date date is August 31, 2018. The license status is INACTIVE.

Business Overview

JOSE ANTONIO PACHECO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055814. The credential type is physician/surgeon. The effective date is September 1, 2017. The expiration date is August 31, 2018. The business address is 11995 Singletree Lane, Suite 550, Eden Prairie, MN 55344. The current status is inactive.

Basic Information

Licensee Name JOSE ANTONIO PACHECO
Credential ID 1372161
Credential Number 1.055814
Credential Type Physician/Surgeon
Business Address 11995 Singletree Lane, Suite 550
Eden Prairie
MN 55344
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-10-06
Effective Date 2017-09-01
Expiration Date 2018-08-31
Refresh Date 2018-12-04

Office Location

Street Address 11995 Singletree Lane, Suite 550
City Eden Prairie
State MN
Zip Code 55344

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Donald T Nicell 11995 Singletree Lane, Eden Prairie, MN 55344 Physician/surgeon 2020-08-01 ~ 2021-07-31
Neuroone Medical Technologies Corp 7599 Anagram Dr, Eden Prairie, MN 55344 Securities - Exemptions 2020-05-15 ~
Robert Edward Stone 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 Physician/surgeon 2020-07-01 ~ 2021-06-30
Daniel James Tangert 6400 Fallbrook Rd., Eden Prairie, MN 55344 Registered Nurse 2020-05-01 ~ 2021-04-30
Dmitry Bolkhovets 11995 Singletree Ln, Eden Prairie, MN 55344 Physician/surgeon 2020-05-01 ~ 2021-04-30
Zinpro 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 Commercial Feed 2020-03-05 ~ 2020-12-31
Michael Wallace Sentome 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 Physician/surgeon 2020-05-01 ~ 2021-04-30
Stephanie Denise Johnson 8423 Cortland Rd, Eden Prairie, MN 55344 Registered Nurse 2020-06-01 ~ 2021-05-31
Ashley Nicole Ingram 11000 Optum Circle, Eden Prairie, MN 55344 Registered Nurse 2020-01-16 ~ 2020-08-31
Colleen M Steven 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 Registered Nurse 2019-12-01 ~ 2020-11-30
Find all Licenses in zip 55344

Competitor

Search similar business entities

City Eden Prairie
Zip Code 55344
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Eden Prairie

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Dataset Information

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).

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