CECILE DIANE MOLIVA ANENDAGA
Resident Physician


Address: 2516 Grand Avenue S Apt. 3, Minneapolis, MN 55405

CECILE DIANE MOLIVA ANENDAGA (Credential# 2032693) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2024. The license status is ACTIVE.

Business Overview

CECILE DIANE MOLIVA ANENDAGA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065075-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2024. The business address is 2516 Grand Avenue S Apt. 3, Minneapolis, MN 55405. The current status is active.

Basic Information

Licensee Name CECILE DIANE MOLIVA ANENDAGA
Credential ID 2032693
Credential Number 1.065075-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 2516 Grand Avenue S Apt. 3
Minneapolis
MN 55405
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-07-01
Effective Date 2020-07-01
Expiration Date 2024-06-30
Refresh Date 2020-05-12

Office Location

Street Address 2516 Grand Avenue S Apt. 3
City Minneapolis
State MN
Zip Code 55405

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kiley Jo Johnson 1015 Glenwood Ave, Minneapolis, MN 55405 Genetic Counselor 2020-09-01 ~ 2021-08-31
Lurie, LLP 2501 Wayzata Boulevard, Minneapolis, MN 55405 Certified Public Accountant Firm Permit 2016-02-19 ~ 2016-12-31
Rajeev Attam Md 1404 W Franklin Ave, Minneapolis, MN 55405 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Nancy Heidman 215 Upton Avebue S, Minneapolis, MN 55405 Registered Nurse 1995-11-20 ~ 1996-11-30
Heather J Scott 2544 1/2 Lyndale Ave, Minneapolis, MN 55405 Speech and Language Pathologist ~ 1996-09-30
Robert A Degenhardt 2120 Kenwood Parkway, Minneapolis, MN 55405 Professional Engineer 2001-02-01 ~ 2002-01-31
Irelyn Shepard 1015 Glenwood Ave, Minneapolis, MN 55405 Genetic Counselor 2020-09-01 ~ 2021-08-31
Ingrid N Sibley 301 Penn Ave N Unit 204, Minneapolis, MN 55405-1167 Registered Nurse 2014-03-07 ~ 2014-09-30
Robert A Fischer 1029 Thomas Ave S, Minneapolis, MN 55405-2114 Professional Engineer 2019-02-01 ~ 2020-01-31
Anthony J Sorensen 2432 Lyndale Ave S, Minneapolis, MN 55405-3333 Hairdresser/cosmetician 2008-09-15 ~ 2010-11-30
Find all Licenses in zip 55405

Competitor

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City Minneapolis
Zip Code 55405
License Type Resident Physician
License Type + County Resident Physician + Minneapolis

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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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