ALEXIS WAGMAN FEDERMAN (Credential# 1611871) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 10, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
ALEXIS WAGMAN FEDERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062162. The credential type is physician/surgeon. The effective date is December 10, 2018. The expiration date is April 30, 2019. The business address is 3401 Pga Blvd., Palm Beach Gardens, FL 33418. The current status is inactive.
| Licensee Name | ALEXIS WAGMAN FEDERMAN |
| Credential ID | 1611871 |
| Credential Number | 1.062162 |
| Credential Type | Physician/Surgeon |
| Business Address |
3401 Pga Blvd. Palm Beach Gardens FL 33418 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-12-10 |
| Effective Date | 2018-12-10 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| Street Address | 3401 PGA Blvd. |
| City | Palm Beach Gardens |
| State | FL |
| Zip Code | 33418 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Jay Federman | 3401 Pga Blvd., Palm Beach Gardens, FL 33410 | Physician/surgeon | 2019-01-02 ~ 2020-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pga Foundation Inc | 100 Avenue of The Champions, Palm Beach Gardens, FL 33418 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Daniel De Jesus | 5602 Delacroix Terrace, Palm Beach Garden, FL 33418 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lori J Capozzi | 10637 Avenue of The Pga, Palm Beach Gardens, FL 33418 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Kelly J Duncan | 13872 Whispering Lakes Ln, Palm Beach Gardens, FL 33418 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Charlene Marx | 24 Windward Isle, Palm Beach Gardens, FL 33418 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Laureen M Rubino | 144 Isle Drive, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Lisa M Baron | 1101 Sabal Ridge Circle, Palm Beach Gardens, FL 33418 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Patricia R Brewster | 6599 Eastpines St, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Adrienne Ruth Fransas | 6097 Seminole Gardens Circle, Palm Beach Gardens, FL 33418 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Peter G Helie | 12007 Cielo Court, Palm Beach Gardens, FL 33418 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 33418 | |||
| City | Palm Beach Gardens |
| Zip Code | 33418 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Palm Beach Gardens |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam S Federman Md | 2876 Main St, Stratford, CT 06614-4984 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Grace S Liang-federman | Advanced Dermcare PC, Danbury, CT 06811 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Robert Jay Federman | 3401 Pga Blvd., Palm Beach Gardens, FL 33410 | Physician/surgeon | 2019-01-02 ~ 2020-01-31 |
| Federman & Lally | 231 Farmington Avenue, Farmington, CT 06032 | Certified Public Accountant Firm Permit | 1995-01-25 ~ 1995-12-31 |
| Alexis H Kim | 610 Gilbert Ave, Menlo Park, CA 94025 | Physician/surgeon | 1994-08-02 ~ 1995-09-30 |
| Alexis C Woodruff | 311 Greene St, New Haven, CT 06511 | Physician/surgeon | 1995-08-11 ~ 1996-08-31 |
| Ama Alexis | 350 W. 50th Street, New York, NY 10019 | Physician/surgeon | 2006-05-01 ~ 2007-05-31 |
| Alexis P Anderson | 88b Howe St, New Haven, CT 06511 | Physician/surgeon | 2006-04-27 ~ 2007-05-31 |
| Alexis Scherl | 82 Guernsey St Apt 3b, Brooklyn, NY 11222-3106 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Alexis R Markowski | 202 Reservoir Rd, Middletown, RI 02842-5961 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on ALEXIS WAGMAN FEDERMAN.
| 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).