NEREA LOPETEGUI LIA (Credential# 1489852) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NEREA LOPETEGUI LIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058626-RES. The credential type is resident physician. The effective date is June 28, 2020. The expiration date is June 30, 2021. The business address is 70 Douglas St, Stratford, CT 06614-2763. The current status is active.
| Licensee Name | NEREA LOPETEGUI LIA |
| Credential ID | 1489852 |
| Credential Number | 1.058626-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
70 Douglas St Stratford CT 06614-2763 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-28 |
| Effective Date | 2020-06-28 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1424900 | CSP.0065478 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 70 DOUGLAS ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-2763 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brendan J Murray | 50 Douglas St, Stratford, CT 06614-2763 | Emergency Medical Technician | 2018-04-11 ~ 2021-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Marie Minaudo | 80 Barrows Ter, Stratford, CT 06614 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Constance Greene | 65 Pamela Drive, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Courtney M Blaze | 90 Mercer Street, Stratford, CT 06614 | Massage Therapist | 2020-07-01 ~ 2022-06-30 |
| William E Rosner Md | 81 B Seminole Lane, Stratford, CT 06614 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Demetrius I Mcqueen | 60 Emerald Pl, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Alan Goldberg | 1825 Barnum Ave, Stratford, CT 06614 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Kimberly L Matakevich | 1367 Nichols Avenue, Stratford, CT 06614 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Marybeth Nemergut | 990 Chapel St, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Geraldine C Corry | 135 Wigwam Lane, Stratford, CT 06614 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kathleen Sajgovic | 300 Post Oak Rd, Stratford, CT 06614 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06614 | |||
| City | STRATFORD |
| Zip Code | 06614 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Christopher Gal | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Ji Hyae Lee | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gal Yaniv | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2019-06-30 |
Please comment or provide details below to improve the information on NEREA LOPETEGUI LIA.
| 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).