ALEXANDRA JIMENEZ (Credential# 1655189) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ALEXANDRA JIMENEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064658. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 405 Promenade Street, Providence, RI 02908. The current status is active.
| Licensee Name | ALEXANDRA JIMENEZ |
| Credential ID | 1655189 |
| Credential Number | 1.064658 |
| Credential Type | Physician/Surgeon |
| Business Address |
405 Promenade Street Providence RI 02908 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-11 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-09 |
| Street Address | 405 Promenade Street |
| City | Providence |
| State | RI |
| Zip Code | 02908 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Olivia S Locker | 302 Eaton St, Providence, RI 02908 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Juan O Silfa | 15 Amity St., Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Caitlyn M. Bouchard | 685 River Ave, Providence, RI 02908 | Casino Class I Employee | 2019-12-18 ~ 2020-10-31 |
| Brandon Russell Sweet | 38 Durham Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Howard J Sellers | 88 Jewett Street, Providence, RI 02908 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Khonesavanh Misay | 25 Rosebank Avenue, Providence, RI 02908 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Alan R Morrison | Providence Va Medical Center, Providence, RI 02908 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tiffany Acosta | 34 Veazie St 3rd Flr, Providence, RI 02908 | Registered Nurse | ~ |
| Tomas I Perez | 80 Farragut Ave, Providence, RI 02908 | Professional Engineer | 2019-06-21 ~ 2020-01-31 |
| Michael E Lebeau | 77 Hilltop Ave, Providence, RI 02908 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 02908 | |||
| City | Providence |
| Zip Code | 02908 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Soraya Jimenez | 5962 John Fries Dr, Macungie, PA 18062 | Physician/surgeon | 2009-02-03 ~ 2009-11-30 |
| Santiago Jimenez | 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alexandra Harris | 79 Cottage Rd, Enfield, CT 06082-2206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Alexandra Yu-yin Haw | 23 Texaco Ave Apt 201, Port Jefferson, NY 11777-2243 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alexandra Lukianoff | 221 Trumbull St Apt 3401, Hartford, CT 06103-1539 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alexandra Vadasz Md | 3850 Webber St, Sarasota, FL 34232 | Physician/surgeon | 2010-09-01 ~ 2011-08-31 |
| Alexandra Catherine Sowa | 308 E 38th St Ste 200, New York, NY 10016-9825 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Alexandra E Kejner | 2323 Race St., Philadelphia, PA 19103 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Alexandra Bannach | 11 Sharon Ave, East Setauket, NY 11733 | Physician/surgeon | 2003-08-26 ~ 2004-05-31 |
| Alexandra A Maclean | 7 North Calvert Street, Baltimore, MD 21202 | Physician/surgeon | 2006-01-03 ~ 2007-01-31 |
Please comment or provide details below to improve the information on ALEXANDRA JIMENEZ.
| 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).