MICHAEL JOHN GARCIA JR (Credential# 1413077) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MICHAEL JOHN GARCIA JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058341-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 307 S Evergreen Ave, Woodbury, NJ 08096-2739. The current status is active.
| Licensee Name | MICHAEL JOHN GARCIA JR |
| Credential ID | 1413077 |
| Credential Number | 1.058341-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-02 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1499329 | CSP.0067619 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-20 | 2019-10-16 - 2021-02-28 | ACTIVE |
| Street Address | 307 S EVERGREEN AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-2739 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Kazos | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Rick Daniel Ornum Figurasin | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph Sehwa Tsao | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edwin Tower Layng | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Timothy Dale Jayne Jr | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kayleigh Gromilovitz Pung | 307 S Evergreen Ave, Woodbury, NJ 08096 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Victoria Rose Feist | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Advanced Practice Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Michael Bernard Valletta | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Russell Julius Pearl | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Controlled Substance Registration for Practitioner | 2018-01-29 ~ 2019-02-28 |
| Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| D Kurt Acker | 135 Grant Ave, Deptford Township, NJ 08096 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Janea Mary Gibbs | Po Box 5253, Deptford, NJ 08096 | Registered Nurse - Temporary | 2020-03-17 ~ 2020-07-15 |
| Timothy Paul Dotzler | Teamhealth Northeast Group, Waterbury, NJ 08096 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tiffany Tapp | 29 N Main St., Norwalk, CT 08096 | Massage Therapist | ~ |
| Anthony Frederick Scenna | 117 Beacon Dr, Deptford, NJ 08096 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christopher James Douglas Tems | 307 S. Evergreen Avenue, Woodbury, NJ 08096 | Physician/surgeon | 2018-01-19 ~ 2018-08-31 |
| Meghan Siobhan Leary | 657 Steeplechase Ct, Deptford, NJ 08096 | Registered Nurse | 2019-02-01 ~ 2020-01-31 |
| Jc Anderson Assoc | 40 Ash Ave, Woodbury, NJ 08096 | Professional Engineer | 1992-01-22 ~ 1993-01-31 |
| Ea Moy Cnslt Elec Eng | 340 Delaware St, Woodbury, NJ 08096 | Professional Engineer | 1994-02-03 ~ 1995-01-31 |
| Scott Kennedy | 625 Sweetgum Lane, Deptford, NJ 08096 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
| Find all Licenses in zip 08096 | |||
| City | WOODBURY |
| Zip Code | 08096 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John R Garcia | 5959 Truxtun Avenue, Suite 100, Bakersfield, CA 93309 | Physician/surgeon | 2004-01-22 ~ 2005-03-31 |
| Michael John Anderson Md | 20-13 26th St, Astoria, NY 11105 | Physician/surgeon | 2002-07-01 ~ 2003-07-31 |
| Michael John Zujkowski | 20 York Street, New Haven, CT 06510-3202 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| John Michael S Chua Chiaco | 130 New London Tpke, Norwich, CT 06360-2624 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Raudel Garcia | 222 Shippen St Apt 1, Weehawken, NJ 07086-5643 | Physician/surgeon | 2013-09-27 ~ 2014-09-30 |
| Enrique Garcia | 1 Dickel Rd, Scarsdale, NY 10583-2117 | Physician/surgeon | 2020-04-02 ~ 2020-10-31 |
| Mario J Garcia | 182 Alexender Ave., Bridgeport, CT 06606 | Physician/surgeon | 1989-08-17 ~ 1992-11-30 |
| Carmen J Garcia | 326 Franklin, Paramus, NJ 07652 | Physician/surgeon | 1997-07-16 ~ 1998-08-31 |
| Juan Garcia, Md | 22 Church Road, Sherman, CT 06784 | Physician/surgeon | ~ |
| Michelle Garcia-rybkin | 70 Dubois St, Newburgh, NY 12550-4851 | Physician/surgeon | ~ |
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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).