PEARL TOLENTINO GUERZON (Credential# 1382090) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
PEARL TOLENTINO GUERZON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055860. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 13 Virginia St, Valley Cottage, NY 10989-2503. The current status is active.
Licensee Name | PEARL TOLENTINO GUERZON |
Credential ID | 1382090 |
Credential Number | 1.055860 |
Credential Type | Physician/Surgeon |
Business Address |
13 Virginia St Valley Cottage NY 10989-2503 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-10-24 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-04-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1386080 | CSP.0064257 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 13 VIRGINIA ST |
City | VALLEY COTTAGE |
State | NY |
Zip Code | 10989-2503 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joann Slosek | 115 Helene Rd, Valley Cottage, NY 10989 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Priscilla F Colet | 257 Valley Road, Valley Cottage, NY 10989 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Ryan F Auriana | 95 Sierra Vista Lane, Valley Cottage, NY 10989 | Certified Public Accountant License | 2020-01-03 ~ 2020-12-31 |
Louis Dretchen | 8 Sasson Terr, Valley Cottage, NY 10989 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Edward S Cankosyan | 210 Brittany Court, Valley Cottage, NY 10989 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
David Budet | 19 Flower Lane, Valley Cottage, NY 10989 | Notary Public Appointment | 2003-05-19 ~ 2008-05-31 |
Andrew Konecni | 210 Mirth Drive, Valley Cottage, NY 10989 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
Marie A Corrente | 175 East Mary Lane, Valley Cottage, NY 10989 | Notary Public Appointment | 2016-04-01 ~ 2021-03-31 |
Irma Trumpet | 59 Sierra Vista Lane, Valley Cottage, NY 10989 | Notary Public Appointment | 2002-11-01 ~ 2007-10-31 |
Anna Demirci | 173 Quaspeck Boulevard, Valley Cottage, NY 10989 | Notary Public Appointment | 1996-12-04 ~ 2001-12-31 |
Find all Licenses in zip 10989 |
City | VALLEY COTTAGE |
Zip Code | 10989 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + VALLEY COTTAGE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Visitacio M Tolentino | 29 Mt Pleasant Rd, Newtown, CT 06470 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
Susan B Ramiro-tolentino | 5 Idaho Court, Coram, NY 11727 | Physician/surgeon | 1995-02-03 ~ 1996-02-29 |
Alec Guerzon | 152 Rolling Grn, Middletown, CT 06457-8740 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
Robert D. Jablonski Jr. | 26 Franklin Ave, Pearl River, NY 10965-2403 | Physician/surgeon | ~ |
Kevin P High | 79 Pearl Ave, Hamden, CT 06514 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Anne Pearl | 17 Keeler Pl, Ridgefield, CT 06877 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
Tara Friedman | 100 Pearl St Fl 14, Hartford, CT 06103-4500 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Katherine A Flanagan | 36 Pearl St, Mystic, CT 06355-1237 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Adam W Pearl | 15 Corporate Dr Suite 2-8, Trumbull, CT 06611 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Paul M Zieg | 165 Pearl Street, Seymour, CT 06483 | Physician/surgeon | 1995-06-21 ~ 1996-06-30 |
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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).