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.
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.
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 |
Street Address | 11995 Singletree Lane, Suite 550 |
City | Eden Prairie |
State | MN |
Zip Code | 55344 |
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 |
City | Eden Prairie |
Zip Code | 55344 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Eden Prairie |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jose R Pacheco Md | 6365 Collins Ave, Miami Beach, FL 33141-9419 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Enrique Jose Pacheco Sumoza | 64 Robbins St, Waterbury, CT 06484 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Jose A Lopez · Jose Antonio Lopez | Po Box 2257, New Britain, CT 06050 | Home Improvement Contractor | ~ 1995-03-01 |
Rafael Pacheco Md | 79 Hunters Crossing, Burlington, CT 06013 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Felix F Pacheco | 71 Wessington Avenue, Garfield, NJ 07026 | Physician/surgeon | 2003-05-29 ~ 2004-05-31 |
Jose Pacheco Lobo | P.o. Box 589, Union City, NJ 07087 | Asbestos Abatement Supervisor | 2007-12-03 ~ 2008-12-31 |
Jose F Pacheco | 3 Arrow Brook Rd, Windsor, CT 06095 | Home Improvement Contractor | 2007-07-12 ~ 2007-11-30 |
Antonio A Sanchez | 355 S End Ave Apt 32c, New York, NY 10280-1013 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Antonio Ciccone | Po Box 599, Roseland, NJ 07068 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sayed K Ali | 223 Larkwood Dr., San Antonio, TX 78209 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
Please comment or provide details below to improve the information on JOSE ANTONIO PACHECO.
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).