SURAYDA JULISSA HERRERA
Physician/surgeon


Address: 457 Stanley Drive, Glastonbury, CT 06033-3819

SURAYDA JULISSA HERRERA (Credential# 1424001) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.

Business Overview

SURAYDA JULISSA HERRERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056804-DO. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 457 Stanley Drive, Glastonbury, CT 06033-3819. The current status is approved.

Basic Information

Licensee Name SURAYDA JULISSA HERRERA
Credential ID 1424001
Credential Number 1.056804-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 457 Stanley Drive
Glastonbury
CT 06033-3819
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2017-08-01
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1440025 CSP.0066443 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-08-02 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 457 Stanley Drive
City GLASTONBURY
State CT
Zip Code 06033-3819

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Sophie C Gomez · Pirog 81 Three Mile Rd, Glastonbury, CT 06033 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physician/Surgeon
License Type + County Physician/Surgeon + GLASTONBURY

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Nilo E Herrera Sr 3 Lindencrest Dr, Danbury, CT 06811 Physician/surgeon 1999-09-15 ~ 2000-10-31
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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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