FERNANDO F ILLESCAS MD (Credential# 158759) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
FERNANDO F ILLESCAS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0019038. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 17 Avery Road, Bloomfield, CT 06002. The current status is active.
| Licensee Name | FERNANDO F ILLESCAS MD |
| Credential ID | 158759 |
| Credential Number | CSP.0019038 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
17 Avery Road Bloomfield CT 06002 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 549121 | 1.031371 | Physician/Surgeon | 1991-02-22 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 17 Avery Road |
| City | Bloomfield |
| State | CT |
| Zip Code | 06002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | Bloomfield |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bloomfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fernando A Ferrer | 100 Simsbury Rd Ste 208, Avon, CT 06001-3793 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Fernando L Merino | La Quinta C-24, Tenerife | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Fernando L Ortiz | 37 Fieldstone Rd, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1994-04-06 ~ 1995-12-01 |
| Fernando Barahona | 38 Bungalow Park, Stamford, CT 06902-6244 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando A Pinero | 950 Campbell Ave, West Haven, CT 06516-2770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando G Abarzua-cabezas | 44 Avonwood Rd Apt 202, Avon, CT 06001-2004 | Controlled Substance Registration for Practitioner | 2013-10-01 ~ 2015-02-28 |
| Benedict Fernando Md | 687 Campbell Ave, West Haven, CT 06516-3774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fernando P Saracco Md | 2690 Whitney Ave, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Fernando B Maglaya Md | 40 Prospect Street, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 1998-04-03 ~ 1999-02-28 |
| Surani R Fernando Md | 1952 Whitney Ave Ste 14, Hamden, CT 06517-1209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).