JAIME IMITOLA HERRERA (Credential# 1639582) 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.
JAIME IMITOLA HERRERA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063204. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 11 Jensen Road, West Hartford, OH 06117. The current status is active.
| Licensee Name | JAIME IMITOLA HERRERA |
| Credential ID | 1639582 |
| Credential Number | 1.063204 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Jensen Road West Hartford OH 06117 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-15 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1659036 | CSP.0071137 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-21 | 2019-05-21 - 2021-02-28 | ACTIVE |
| Street Address | 11 Jensen Road |
| City | West hartford |
| State | OH |
| Zip Code | 06117 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy Tran | 20 Lindy Lane, West Hartford, CT 06117 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Renaissance Craftsmen LLC | 263 Simsbury Road, West Hartford, CT 06117 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Lev Tsarkov | 116 Lyman Road, West Hartford, CT 06117 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Scott Lee Ratchford | 67 Balfour Dr., West Hartford, CT 06117 | Professional Counselor | ~ |
| Gary Neidle | 8 Stratford Rd, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Beverly Vincent | 37 Harwich Lane, West Hartford, CT 06117 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Marc D Palter | 94 Beacon Hill Dr, West Hartford, CT 06117 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David L Friar | 35 Porter Dr, W Hartford, CT 06117 | Architect | 2020-08-01 ~ 2021-07-31 |
| Adlin C Daye | 147 Mohawk Drive, West Hartford, CT 06117 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Derek M Mcdermott | 61 Ferncliff Drive, West Hartford, CT 06117 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06117 | |||
| City | West hartford |
| Zip Code | 06117 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilo E Herrera Sr | 3 Lindencrest Dr, Danbury, CT 06811 | Physician/surgeon | 1999-09-15 ~ 2000-10-31 |
| Johany Herrera | 712 Garden St # 3a, Bronx, NY 10457-1905 | Physician/surgeon | 2010-01-20 ~ 2010-11-30 |
| Surayda Julissa Herrera | 457 Stanley Drive, Glastonbury, CT 06033-3819 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Jaime A Morales | 4073 Woodbridge Ave, Edison, NJ 08837-3308 | Physician/surgeon | ~ |
| Jaime M Leahy | 327 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jaime J. Ayon | 1 Virginia Avenue Apt # 607, Indianapolis, IN 46204 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Jaime Ganc | 5702 Jackwood St, Houston, TX 77096-1108 | Physician/surgeon | 2013-05-24 ~ 2014-04-30 |
| Jaime Rivas | 154 Cold Spring Rd., Stamford, CT 06905 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jaime Simkovitz Md | 3715 Main St Ste #306, Bridgeport, CT 06606 | Physician/surgeon | 2004-06-25 ~ 2005-07-31 |
| Jaime A Inserni | 613 Ponce De Leon, Santurce, 00907 | Physician/surgeon | 2003-09-22 ~ 2004-09-30 |
Please comment or provide details below to improve the information on JAIME IMITOLA HERRERA.
| 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).