CRYSTAL MARIE MARQUEZ
Physician/surgeon


Address: 15 Crooke Avenue, Brooklyn, NY 11226

CRYSTAL MARIE MARQUEZ (Credential# 1623357) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

CRYSTAL MARIE MARQUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063564. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 15 Crooke Avenue, Brooklyn, NY 11226. The current status is active.

Basic Information

Licensee Name CRYSTAL MARIE MARQUEZ
Credential ID 1623357
Credential Number 1.063564
Credential Type Physician/Surgeon
Business Address 15 Crooke Avenue
Brooklyn
NY 11226
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-03
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1297341 CSP.0060832 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-07-02 2019-03-01 - 2021-02-28 ACTIVE
1488252 1.057669-RES Resident Physician 2015-06-22 2015-06-22 - 2019-06-30 INACTIVE

Office Location

Street Address 15 Crooke Avenue
City Brooklyn
State NY
Zip Code 11226

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Nicole Hutchinson 786 Rogers Ave, Brooklyn, NY 11226 Marital and Family Therapist ~
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Krittiyanee Yomma 2100 Bedford Ave, Brooklyn, NY 11226 Massage Therapist ~
Lily Bayat 991 Ocean Ave, Brooklyn, NY 11226 Physician/surgeon 2020-05-01 ~ 2021-04-30
Ronald A. Jean 1705 Dorchester Rd # 3a, Brooklyn, NY 11226 Master's Level Social Worker 2020-04-01 ~ 2021-03-31
Kinnos, Inc. 760 Parkside Avenue, Brooklyn, NY 11226 Securities - Exemptions 2020-03-09 ~
Epibone, Inc.. 760 Parkside Avenue, Brooklyn, NY 11226 Securities - Exemptions 2020-02-13 ~
Stania Racine 2015 Dorchester Rd # C8, Brooklyn, NY 11226 Registered Nurse 2018-10-22 ~ 2019-08-31
Kate Nwosu 1321 Nostrand Avenue, Brooklyn, NY 11226 Master's Level Social Worker 2018-06-01 ~ 2019-05-31
Mina Safwat Sobhi Fanous 222 Lenox Rd, Brooklyn, NY 11226 Physician/surgeon 2018-09-10 ~ 2018-11-30
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Competitor

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City Brooklyn
Zip Code 11226
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Brooklyn

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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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