JAVIER J DAVILA MD (Credential# 381890) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JAVIER J DAVILA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036377. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1 Audubon St Ste 201, New Haven, CT 06511. The current status is active.
| Licensee Name | JAVIER J DAVILA MD |
| Credential ID | 381890 |
| Credential Number | CSP.0036377 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Audubon St Ste 201 New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560315 | 1.042733 | Physician/Surgeon | 2004-08-12 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 1 AUDUBON ST STE 201 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah Pan | 1 Audubon St Ste 201, New Haven, CT 06511-6431 | Controlled Substance Registration for Practitioner | 2019-03-04 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miguel Davila-marti | 112 S Whitney St, Hartford, CT 06105-4123 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier Salabarria Md | Po Box 163, Winsloe, PE C1E 1Z2 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier B C Lavaudo Md | 37 Frahus St, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2006-12-14 ~ 2007-02-28 |
| Emmanuel Javier Md | 42 Woodside Way, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Javier B Cairo Md | 84 Howe St #10, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Javier Lopez | 775 Orange Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Javier I Escobar | 314 Sayre Drive, Princeton, NJ 08540 | Controlled Substance Registration for Practitioner | 1994-07-08 ~ 1996-08-01 |
| Javier B Cairo-lavado Md | 13 Clark St Apt #2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Ricardo Javier Perez | 14 Brian Rd, West Hartford, CT 06110-2509 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Javier Motta | 8108 264th St, Glen Oaks, NY 11004-1524 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).