JUSTIN J POLGA MD (Credential# 395007) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 14, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
JUSTIN J POLGA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0036988. The credential type is controlled substance registration for practitioner. The effective date is April 14, 2017. The expiration date is February 28, 2019. The business address is 7540 Sw 126th Street, Pinecrest, FL 33156. The current status is lapsed.
| Licensee Name | JUSTIN J POLGA MD |
| Credential ID | 395007 |
| Credential Number | CSP.0036988 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
7540 Sw 126th Street Pinecrest FL 33156 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2005-02-09 |
| Effective Date | 2017-04-14 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560606 | 1.043024 | Physician/Surgeon | 2005-01-10 | 2013-09-01 - 2014-08-31 | INACTIVE |
| Street Address | 7540 SW 126th Street |
| City | PINECREST |
| State | FL |
| Zip Code | 33156 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Devinder Singh Md | 11390 Four Fillies Road, Miami, FL 33156 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Mercedes Campbell | 9055 Sw 73 Court, Miami, FL 33156 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Reymundo J Miranda | 8211 Sw 111 Terr, Miami, FL 33156 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Gloria G York | 10590 Sw 77 Ave, Miami, FL 33156 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Paul Richard Gershen · Gershen Associates Pa | 13357 Sw 59th Ave, Miami, FL 33156 | Architect | 2016-02-02 ~ 2016-07-31 |
| H J Ross Associates | 120 Leucadendra, Coral Gables, FL 33156 | Professional Engineer | 1986-02-03 ~ 1987-01-31 |
| Gerald Zadikoff | 6540 Sw 131 Street, Miami, FL 33156 | Professional Engineer | 1998-02-01 ~ 1999-01-31 |
| Burger King / Mclamore Foundation Inc. | 9300 S. Dadeland Blvd, 1st Floor, Miami, FL 33156 | Public Charity | 2007-06-01 ~ 2008-05-31 |
| Arthur L Waldman Md | 7512 Sw 102 St, Pinecrest, FL 33156 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Elmer F Fisher | 9355 Balada St., Coral Cables, FL 33156 | Certified Public Accountant Certificate | ~ |
| Find all Licenses in zip 33156 | |||
| City | PINECREST |
| Zip Code | 33156 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PINECREST |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin A Cross Md | Po Box 362, Kedrsavge, NH 03847 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Justin J Cohen | 835 Mix Ave, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2004-09-10 ~ 2006-02-28 |
| Justin R. Bloom | Po Box 806, East Windsor, CT 06088 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Justin K. Dixon | 225 W Park Ave, New Haven, CT 06511-2945 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Justin Varghese | 15 Seth Ln, Hicksville, NY 11801-6514 | Controlled Substance Registration for Practitioner | 2014-07-30 ~ 2015-02-28 |
| Justin Gauthier | 176 Shewville Rd, Mystic, CT 06355-1210 | Controlled Substance Registration for Practitioner | ~ |
| Justin List | 121 Judwin Ave, New Haven, CT 06515-2314 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Justin M Cohen | 3 White Dr, Cedarhurst, NY 11516-2607 | Controlled Substance Registration for Practitioner | 2019-07-08 ~ 2021-02-28 |
| Justin R Lynch Pa | 226 White St, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Justin P Rowberry | 233 Magee Dr, Hamden, CT 06514-1311 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
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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).