CHARISSE COLVIN
Physician/surgeon


Address: 40 Lower Rocky Point Rd, Miller Place, NY 11764-1630

CHARISSE COLVIN (Credential# 2002698) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

CHARISSE COLVIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065088. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is April 30, 2021. The business address is 40 Lower Rocky Point Rd, Miller Place, NY 11764-1630. The current status is active.

Basic Information

Licensee Name CHARISSE COLVIN
Credential ID 2002698
Credential Number 1.065088
Credential Type Physician/Surgeon
Business Address 40 Lower Rocky Point Rd
Miller Place
NY 11764-1630
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-04-01
Effective Date 2020-04-01
Expiration Date 2021-04-30
Refresh Date 2020-04-01

Office Location

Street Address 40 LOWER ROCKY POINT RD
City MILLER PLACE
State NY
Zip Code 11764-1630

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Donald A Sioss 11 Miller Woods Dr, Miller Place, NY 11764 Professional Engineer 2010-02-01 ~ 2011-01-31
Frank P Lombardo 9 Rolling Road, Miller Place, NY 11764 Physician/surgeon 2013-08-01 ~ 2014-07-31
Cecile P Stopkoski 2 North Harbor Down, Miller Place, NY 11764 Registered Nurse 2012-08-01 ~ 2013-07-31
James J Tinney Heather Lane, Miller Place, NY 11764 Certified Public Accountant License 1996-01-01 ~ 1996-12-31
Raymond Danowski 70 Henearly Drive, Miller Place, NY 11764 Plumbing & Piping Unlimited Journeyperson ~
Carolyn J Leonard 17 Honey Lane, Miller Place, NY 11764 Emergency Medical Technician 2008-10-08 ~ 2010-07-01
Keith J Goss 22 Honey Lane, Miller Place, NY 11764 Lead Abatement Supervisor ~ 1997-12-31
Betty L Valek 351 Oakland Ave, Miller Place, NJ 11764 Licensed Practical Nurse 1999-03-19 ~ 2000-01-31
Carol Denise Davis 46 Sylvan Avenue, Miller Place, NY 11764 Physician/surgeon 2008-03-24 ~ 2009-02-28
Richard Terry 29 Oakwood Avenue, Miller Place, NY 11764 Asbestos Abatement Supervisor 2002-09-11 ~ 2003-08-31
Find all Licenses in zip 11764

Competitor

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City MILLER PLACE
Zip Code 11764
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MILLER PLACE

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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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