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.
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.
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 |
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 |
Street Address | 15 Crooke Avenue |
City | Brooklyn |
State | NY |
Zip Code | 11226 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nicole Hutchinson | 786 Rogers Ave, Brooklyn, NY 11226 | Marital and Family Therapist | ~ |
Choosing Therapy Inc. | 10 Saint Paul's Place, Apt 1l, Brooklyn, NY 11226 | Securities - Exemptions | 2020-06-05 ~ |
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 |
Find all Licenses in zip 11226 |
City | Brooklyn |
Zip Code | 11226 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Brooklyn |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vijayasekhara R Kalakata | 690 Ne 3rd Ave, Crystal River, FL 34428 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
Sandra L Aponte | 69 Crystal Ave, Staten Island, NY 10302-2516 | Physician/surgeon | ~ |
Louis G Petcu Md | 75 Crystal Run Rd, Middletown, NY 10941-7000 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Jesus Marquez · Marquez Handyman | 911 Broad St, Hartford, CT 06106 | Home Improvement Contractor | ~ |
Crystal L Clark | 1280 Asylum Ave Apt 4d, Hartford, CT 06105-2289 | Physician/surgeon | 2003-06-02 ~ 2004-02-29 |
Raymond A Sleszynski | 601 Crystal Grove, Lutz, FL 33549 | Physician/surgeon | ~ 1999-02-28 |
Grace M Wesolow | 210 W Crystal Lake, Haddonfield, NJ 08033 | Physician/surgeon | 1997-07-02 ~ 1998-07-31 |
Kajalben N Nadpara | 155 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
Stefan G Chevalier | 75 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
Maria C Albano | 124 Mississippi Ave, Crystal City, MO 63019 | Physician/surgeon | 2000-05-01 ~ 2001-03-31 |
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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).